Organization Active NPI

Arnzen Super Drug, Inc

Doing business as Arnzen's Kamiah Drug

  • Community/Retail Pharmacy
  • Kamiah, ID
National Provider Identifier
1336717248
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ARNZEN SUPER DRUG, INC
Doing business as
Arnzen's Kamiah Drug
Practice address
318 Main Street
Kamiah, ID 83536-0787
Phone
(208) 935-2301
NPI assigned
Jun 16, 2021
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ARNZEN SUPER DRUG, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Mr. Rod F. Arnzen, RPHNPI 1861802076
Title
Manager
Phone
(208) 962-3401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

318 Main Street
Kamiah, ID 83536-0787

Mailing address

PO Box 787
Kamiah, ID 83536-0787
Phone (208) 935-2301

Other names 1

  • Arnzen's Kamiah Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arazen's Kamiah Drug3 organizations share this tax ID, including this one
Part of
Arazen's Kamiah Drug

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1336717248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "KAMIAH",
            "state": "ID",
            "postal_code": "835360787",
            "telephone_number": "208-935-2301",
            "fax_number": "208-935-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN STREET",
            "city": "KAMIAH",
            "state": "ID",
            "postal_code": "835360787",
            "telephone_number": "208-935-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNZEN SUPER DRUG, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARNZEN SUPER DRUG, INC",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "ARNZEN",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-962-3401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnzen's Kamiah Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamiah, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.