NPIMap

Organization Active NPI

Hayes Inspirations

Doing business as Mountain Care Pharmacy

  • Specialty Pharmacy
  • Boise, ID
National Provider Identifier
1417188632
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
39835RP Issued in ID
Legal business name
HAYES INSPIRATIONS
Doing business as
Mountain Care Pharmacy
Practice address
286 N Maple Grove Rd
Boise, ID 83704-8239
Phone
(208) 287-4667
Fax
(208) 287-4668
NPI assigned
Aug 5, 2009
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Shara HayesNPI 1700108065
Title
Owner
Phone
(208) 287-4667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X 39835RP ID Primary

Addresses

Primary practice location

286 N Maple Grove Rd
Boise, ID 83704-8239

Mailing address

286 N Maple Grove Rd
Boise, ID 83704-8239
Phone (208) 287-4667

Other identifiers 2

IdentifierTypeStateIssuer
2151915OtherPK
8085303MedicaidID

Other names 1

  • Mountain Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191022001634 ID DME Supplier - Pharmacy 3971835059 Practice locations: Boise, ID
O20221010002526 ID Part B Supplier - Mass Immunization (Roster Biller Only) 3971835059 Practice locations: Boise, ID

National Provider Directory

National Provider Directory
Tax ID family
Hayes Inspirations2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1417188632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048239",
            "telephone_number": "208-287-4667",
            "fax_number": "208-287-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048239",
            "telephone_number": "208-287-4667",
            "fax_number": "208-287-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES INSPIRATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-287-4667"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "ID",
            "license": "39835RP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151915",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8085303",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.