NPIMap

Organization Active NPI

K2Red LLC

Doing business as Winona Pharmacy

  • Pharmacy
  • Twin Falls, ID
National Provider Identifier
1336747948
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
K2RED LLC
Doing business as
Winona Pharmacy
Practice address
615 Filer Ave
Twin Falls, ID 83301-4008
Phone
(208) 734-7373
NPI assigned
Oct 15, 2020
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Daniel Scott Fuchs, RPHNPI 1760908545
Title
Member/RPH
Phone
(208) 734-7373

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

615 Filer Ave
Twin Falls, ID 83301-4008

Mailing address

615 Filer Ave
Twin Falls, ID 83301-4008
Phone (208) 734-7373

Other names 1

  • Winona Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
K2Red LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1336747948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FILER AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014008",
            "telephone_number": "208-734-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FILER AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014008",
            "telephone_number": "208-734-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K2RED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER/RPH",
        "authorized_official_telephone_number": "208-734-7373",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.