NPIMap

Organization Active NPI

Mednow, Inc

Doing business as MedNow Pharmacy #4

  • Community/Retail Pharmacy
  • Nampa, ID
National Provider Identifier
1306951785
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1392CP Issued in ID
Legal business name
MEDNOW, INC
Doing business as
MedNow Pharmacy #4
Practice address
4400 E Flamingo Ave
Nampa, ID 83687-9203
Phone
(208) 288-4660
Fax
(208) 288-4664
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Bill Beck
Title
President/Ceo
Phone
(208) 895-1957

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1392CP ID
Pharmacy 333600000X 1392CP ID
Community/Retail Pharmacy 3336C0003X 1392CP ID Primary

Addresses

Primary practice location

4400 E Flamingo Ave
Nampa, ID 83687-9203

Mailing address

4400 E Flamingo Ave
Nampa, ID 83687-9203
Phone (208) 288-4660

Other identifiers 5

IdentifierTypeStateIssuer
805810000OtherIDMEDICAID PROFESSIONAL
158212MedicaidOR
000010013823OtherIDREGENCE BLUE SHIELD & HEA
85233OtherIDBC OF IDAHO AND TRUE BLUE
805324400MedicaidID

Other names 1

  • MedNow Pharmacy #4 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210921001110 ID Part B Supplier - Mass Immunization (Roster Biller Only) 4284665225 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boise, ID; Eagle, ID; Nampa, ID
O20231014000397 ID DME Supplier - PharmacyDME Supplier - Medical Supply Company 4284665225 Practice locations: Nampa, ID

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mednow Pharmacy4400 E Flamingo Ave, Nampa, ID 83687-9203(208) 205-0660 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Mednow Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1418 Caldwell Blvd
Nampa, ID 83651

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1306951785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E FLAMINGO AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879203",
            "telephone_number": "208-288-4660",
            "fax_number": "208-288-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E FLAMINGO AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879203",
            "telephone_number": "208-288-4660",
            "fax_number": "208-288-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNOW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "208-895-1957",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "1392CP",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ID",
            "license": "1392CP",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "1392CP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROFESSIONAL",
            "identifier": "805810000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158212",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD & HEA",
            "identifier": "000010013823",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF IDAHO AND TRUE BLUE",
            "identifier": "85233",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805324400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedNow Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.