Arnzen Super Drug, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ARNZEN SUPER DRUG, INC

Practice address

318 Main Street
Kamiah, ID 83536-0787

Phone

(208) 935-2301

NPI assigned

Jun 16, 2021

Organization subpart

Yes

Parent organization

ARNZEN SUPER DRUG, INCAs reported in NPPES

Name

Mr. Rod F. Arnzen, RPH

Title

Manager

Phone

(208) 962-3401

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.

• Arnzen Super Drug, Inc

  • Community/Retail Pharmacy
  • Orofino, ID
  • NPI 1679037402
  NPD tax ID
• Arnzen Super Drug, Inc.

  • Community/Retail Pharmacy
  • Kamiah, ID
  • NPI 1376627596
  NPD tax ID

Locations

• Arnzen's Kamiah Drug Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2021.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376627596",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnzen's Kamiah Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam C. Dayley, O.D., P.C.
• Arnzen Super Drug, Inc.
• Kimberly K. Bartholomew, D.C.
• City of Kamiah
• Comfort Connection Northwest
• Marnell June Frizzell, APRN FNP

• All providers in Kamiah, ID
• Community/Retail Pharmacy in Idaho

• 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.