Hells Canyon Health and Wellness Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

38642RP Issued in ID

Legal business name

HELLS CANYON HEALTH AND WELLNESS PHARMACY

Practice address

523 Thain Rd
Lewiston, ID 83501

Phone

(208) 743-5515

Fax

(208) 743-0333

NPI assigned

May 17, 2015

Organization subpart

No

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

Authorized official

Name

Charles Andrew Pottenger, PHARM DNPI 1386050359

Title

Authorized Official

Phone

(208) 743-5515

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hells Canyon Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hells Canyon Health and Wellness Pharmacy

  • Long Term Care Pharmacy
  • Lewiston, ID
  • NPI 1619507761
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Pottenger, PHARMD

  • Pharmacist
  • Lewiston, ID
  • NPI 1386050359
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1457739989",
    "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": "83501",
            "telephone_number": "208-743-5515",
            "fax_number": "208-743-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLS CANYON HEALTH AND WELLNESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-17",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "POTTENGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "208-743-5515",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "38642RP",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457739989",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hells Canyon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthsource Partners, LLC
• Frances A Hedrick, MD
• Hillary Elise Hedrick, LMSW
• Bobbi J Heitstuman, PHARM D
• Laura D Heitzman, R.PH.
• Hells Canyon Health and Wellness Pharmacy
• Lisa Renee Henderson, AGNP-C
• Esther Henter, AGNP-C
• Kara Jo Herndon, RD
• Andrew Allen Herres Jr., LMP

• Community/Retail Pharmacy in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.