NPIMap

Organization Active NPI

Full Circle Health, Inc.

Doing business as Full Circle Health

  • Community/Retail Pharmacy
  • Kuna, ID
National Provider Identifier
1356159479
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FULL CIRCLE HEALTH, INC.
Doing business as
Full Circle Health
Practice address
708 E Wythe Creek CT Ste 103
Kuna, ID 83634-5005
Phone
(208) 954-8705
Fax
(208) 954-8704
NPI assigned
Dec 20, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Jared Lee Moore, PHARMD
Title
Director of Pharmacy Services
Phone
(208) 514-2500

Specialties & licenses 1

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

Addresses

Primary practice location

708 E Wythe Creek CT Ste 103
Kuna, ID 83634-5005

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other names 1

  • Full Circle Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Full Circle Health Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

708 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-5130

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1356159479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E WYTHE CREEK CT STE 103",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345005",
            "telephone_number": "208-954-8705",
            "fax_number": "208-954-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "208-514-2500",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.