Arnzen Super Drug, Inc.
Organization Active NPI Community/Retail Pharmacy · Kamiah, ID
NPI 1376627596 · NPPES record last updated Dec 12, 2025
Key facts
- NPI
- 1376627596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 315CP (ID)
- Legal business name
- ARNZEN SUPER DRUG, INC.
- Practice address
- 318 Main Street
Box 787
Kamiah, ID 83536 - Phone
- (208) 935-2301
- Fax
- (208) 935-2477
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Rod F Arnzen, RPH
- Title
- Owner
- Phone
- (208) 962-3401
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220328000553 | ID | Part B Supplier - Pharmacy | 5597885111 |
2 other NPIs on this enrollment Practice locations: Cottonwood, ID; Kamiah, ID; Orofino, ID |
National Provider Directory
- Tax ID family
- Arazen'S Kamiah Drug
Locations
318 Main St
#787
Kamiah, ID 83536
Phone (208) 935-2301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 315CP | ID | Yes |
Addresses
Primary practice location
318 Main Street
Box 787
Kamiah, ID 83536
Mailing address
318 Main Street
Box 787
Kamiah, ID 83536-0787
Phone (208) 935-2301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230500 | Medicaid | ID |
Other names
- Kamiah Drug
Other providers in Kamiah, ID
- Adam C. Dayley, O.D., P.C.
- Arnzen Super Drug, Inc
- Kimberly K. Bartholomew
- City of Kamiah
- Comfort Connection Northwest
- Marnell June Frizzell
- Charles Perry Green
All providers in Kamiah, ID · Community/Retail Pharmacy in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.