Dermcare & Family Management

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DERMCARE & FAMILY MANAGEMENT

Practice address

900 Pier View Dr
Idaho Falls, ID 83402-4972

Phone

(664) 666-0303

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rusell Davis

Title

Manager

Phone

(664) 666-0303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1336050608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PIER VIEW DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024972",
            "telephone_number": "664-666-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PIER VIEW DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024972",
            "telephone_number": "664-666-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMCARE & FAMILY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RUSELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "664-666-0303"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Idaho Falls, ID
• Providers in Idaho Falls, 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 Sep 15, 2026; 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.