Docs Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2414RP Issued in ID

Legal business name

DOCS PHARMACY INC

Practice address

624 Larch St
Sandpoint, ID 83864-6158

Phone

(208) 597-7466

Fax

(208) 597-7455

NPI assigned

May 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle DuhonNPI 1124543137

Title

President

Phone

(208) 597-7466

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicine Man Sandpoint Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Duhon

  • Pharmacist
  • Sandpoint, ID
  • NPI 1124543137
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1295054070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2002",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 LARCH ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838646158",
            "telephone_number": "208-597-7466",
            "fax_number": "208-597-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "DUHON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-597-7466"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "2414RP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295054070",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125228",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Man Sandpoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Rose Dephilippis, LCSW
• Lawrence Derbes Jr., MD
• Stacee Dineen
• Mercedes Dirks
• Doc-Side Medical Group PC
• Rachel Dolph
• Kayla Dotson, PHARMD
• Tamar Nicole Doty, PHARMD
• Morgan Douglas
• Robin Dove, LPC

• Community/Retail Pharmacy in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.