NPIMap

Organization Active NPI

TNT Apothecary LLC

Doing business as Wendell Pharmacy

  • Community/Retail Pharmacy
  • Wendell, ID
National Provider Identifier
1316029184
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2335CP Issued in ID
Legal business name
TNT APOTHECARY LLC
Doing business as
Wendell Pharmacy
Practice address
280 S Idaho St
Wendell, ID 83355-5200
Phone
(208) 536-5761
Fax
(208) 536-5852
NPI assigned
Oct 20, 2006
Last updated
Jul 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Thomas Wadsworth, RPH
Title
Owner/Manager
Phone
(208) 536-5761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2335CP ID Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

280 S Idaho St
Wendell, ID 83355-5200

Mailing address

PO Box 487
Wendell, ID 83355-0487
Phone (208) 536-5761

Other names 1

  • Wendell Pharmacy Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1316029184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "833550487",
            "telephone_number": "208-536-5761",
            "fax_number": "208-536-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S IDAHO ST",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "833555200",
            "telephone_number": "208-536-5761",
            "fax_number": "208-536-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNT APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "WADSWORTH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-536-5761",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "2335CP",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wendell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.