Organization Active NPI

Arnzen Super Drug, Inc.

Doing business as Kamiah Drug

  • Community/Retail Pharmacy
  • Kamiah, ID
National Provider Identifier
1376627596
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
315CP Issued in ID
Legal business name
ARNZEN SUPER DRUG, INC.
Doing business as
Kamiah Drug
Practice address
318 Main Street
Box 787
Kamiah, ID 83536
Phone
(208) 935-2301
Fax
(208) 935-2477
NPI assigned
Oct 24, 2006
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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
Owner
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 315CP ID Primary

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 names 1

  • Kamiah Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220328000553 ID Part B Supplier - Pharmacy 5597885111 2 other NPIs on this enrollment
Practice locations: Cottonwood, ID; Kamiah, ID; Orofino, ID

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

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

Other organizations with this tax ID 2

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

Locations

318 Main St
#787
Kamiah, ID 83536
Phone (208) 935-2301

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1376627596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MAIN STREET",
            "address_2": "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",
            "address_2": "BOX 787",
            "city": "KAMIAH",
            "state": "ID",
            "postal_code": "83536",
            "telephone_number": "208-935-2301",
            "fax_number": "208-935-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNZEN SUPER DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "ARNZEN",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-962-3401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "315CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "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 Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.