Active NPI
Mariah Thorpe
- Pharmacist
- Moscow, ID
National Provider Identifier
1477200855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10567
- Practice address
- 1320 S Blaine St
Moscow, ID 83843-3971 - Phone
- (208) 883-0713
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61187504 | WA | |
| Pharmacist | 183500000X | P10567 | ID | Primary |
Addresses
Primary practice location
1320 S Blaine St
Moscow, ID 83843-3971
Mailing address
721 E 6TH St
Moscow, ID 83843-3526
Phone (509) 992-4669
Other practice location 1
102 E Main Ave
Chewelah, WA 99109-8960
Phone (509) 925-8611
Other practice location 2
280 W 3rd Ave
Kettle Falls, WA 99141-5177
Phone (509) 738-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10567 | ID | MD | Pharmacist |
| PH61187504 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Drug Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kettle Falls, WA
- NPI 1821128539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1477200855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 E 6TH ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433526",
"telephone_number": "509-992-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S BLAINE ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433971",
"telephone_number": "208-883-0713"
}
],
"practiceLocations": [
{
"address_1": "102 E Main Ave",
"address_purpose": "LOCATION",
"city": "Chewelah",
"state": "WA",
"postal_code": "991098960",
"country_code": "US",
"telephone_number": "509-925-8611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 W 3rd Ave",
"address_purpose": "LOCATION",
"city": "Kettle Falls",
"state": "WA",
"postal_code": "991415177",
"country_code": "US",
"telephone_number": "509-738-2223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORPE",
"first_name": "MARIAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61187504",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.