Organization Active NPI

Orchards Pharmacy Inc.

  • Pharmacist
  • Lewiston, ID
National Provider Identifier
1417022476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
454CP Issued in ID
Legal business name
ORCHARDS PHARMACY INC.
Practice address
523 Thain Rd
Lewiston, ID 83501-5530
Phone
(208) 743-5515
Fax
(208) 743-0333
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura D Heitzman, RPHNPI 1114132446
Title
Owner Pharmacist
Phone
(208) 743-5515

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 454CP ID Primary

Addresses

Primary practice location

523 Thain Rd
Lewiston, ID 83501-5530

Mailing address

523 Thain Rd
Lewiston, ID 83501-5530
Phone (208) 743-5515

National Provider Directory

National Provider Directory

Locations

523 Thain Rd
Lewiston, ID 83501
Phone (208) 743-5515

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417022476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 THAIN RD",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015530",
            "telephone_number": "208-743-5515",
            "fax_number": "208-743-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 THAIN RD",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015530",
            "telephone_number": "208-743-5515",
            "fax_number": "208-743-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARDS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEITZMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "208-743-5515",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "454CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.