NPIMap

Organization Active NPI

Johns Medic Pharmacy

  • Community/Retail Pharmacy
  • Nampa, ID
National Provider Identifier
1487747820
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
679RP Issued in ID
Legal business name
JOHNS MEDIC PHARMACY
Practice address
523 11TH Ave N
Nampa, ID 83687-3442
Phone
(208) 466-2431
Fax
(208) 466-3249
NPI assigned
Sep 30, 2006
Organization subpart
No

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

523 11th Ave N
Nampa, ID 83687
Phone (208) 466-2431

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
John AndersonNPI 1003244229
Title
President Owner Pharmacist
Phone
(208) 466-2431

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 679RP ID Primary

Addresses

Primary practice location

523 11TH Ave N
Nampa, ID 83687-3442

Mailing address

523 11TH Ave N
Nampa, ID 83687-3442
Phone (208) 466-2431

Other identifiers 2

IdentifierTypeStateIssuer
804004100MedicaidID
2020580OtherPK

Other names 1

  • JOHNS MEDIC PHARMACY Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1487747820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 11TH AVE N",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873442",
            "telephone_number": "208-466-2431",
            "fax_number": "208-466-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 11TH AVE N",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873442",
            "telephone_number": "208-466-2431",
            "fax_number": "208-466-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS MEDIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OWNER PHARMACIST",
        "authorized_official_telephone_number": "208-466-2431"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "679RP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804004100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNS MEDIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.