Ridley'S Family Markets, Inc
Organization Active NPI Community/Retail Pharmacy · Spring Creek, NV
NPI 1386467009 · NPPES record last updated Nov 8, 2024
Key facts
- NPI
- 1386467009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- RIDLEY'S FAMILY MARKETS, INC
- Practice address
- 568 Spring Valley CT
Spring Creek, NV 89815-6821 - Phone
- (775) 735-9248
- Fax
- (385) 331-5000
- NPI assigned
- Nov 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Todd Robert Wise
- Title
- Director of Phamracy
- Phone
- (801) 358-3365
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 35
Practitioners 5
-
Scott Call Laws, RPH
-
Jordan David Rupp, PHARMD
-
Brock Shawver, PHARMD
-
Michael Jared Stucki, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251113001930 | NV | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709170111 | Practice locations: Spring Creek, NV |
National Provider Directory
- Tax ID family
- Ridley'S Family Markets Inc
Locations
7670 5th St
#1136
Wellington, CO 80549
Phone (970) 825-7038
2827 Pocatello Ave
American Falls, ID 83211
Phone (208) 252-9805
1403 N Meridian Rd
#8448
Kuna, ID 83634
Phone (208) 922-9566
430 E Main St
#8442
Middleton, ID 83644
Phone (208) 525-2900
1000 Pocatello Creek Rd
#7156
Pocatello, ID 83201
Phone (208) 233-4051
9732 W State St
Star, ID 83669
Phone (208) 286-0906
1689 Great Basin Blvd
Ely, NV 89301
Phone (775) 289-2671
568 Spring Valley Ct
Spring Creek, NV 89815
Phone (775) 237-2758
42 W Main St
Midway, UT 84049
Phone (435) 654-1926
1585 N State St
Orem, UT 84057
Phone (801) 221-9467
74 S 100 E
Tremonton, UT 84337
Phone (435) 557-7014
620 Pine Ave
Kemmerer, WY 83101
Phone (307) 877-4209
169 Coffeen Ave
Sheridan, WY 82801
Phone (307) 672-1788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
568 Spring Valley CT
Spring Creek, NV 89815-6821
Mailing address
621 Washington St S
Twin Falls, ID 83301-6293
Phone (801) 358-3365
Other providers in Spring Creek, NV
- Katelyn Noreen
- Robert Todd Petersen
- Sheryle Pierce
- Misty Purper
- Gerald Paul Rampton
- Julie Rowan
- Ruby Counseling and Wellness
- Elaina Scougale
- Colleen Constance Shoaf
- Kimberlee C Smith
All providers in Spring Creek, NV · Community/Retail Pharmacy in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2024. 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.