Preston Drug Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

608CP Issued in ID

Legal business name

PRESTON DRUG INC

Practice address

39 N 1St E
Preston, ID 83263-1325

Phone

(208) 852-1563

Fax

(208) 852-1268

NPI assigned

Mar 19, 2007

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Craig H Haslam, RPH

Title

Owner Pharmacist

Phone

(208) 852-1563

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Preston Drug Inc

  • Community/Retail Pharmacy
  • Preston, ID
  • NPI 1497751234

  O20100930092446

  Same enrollment

Locations

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.

• Seth William Haslam, PHARMD.

  • Pharmacist
  • Preston, ID
  • NPI 1023411139
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1487778197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N 1ST E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631325",
            "telephone_number": "208-852-1563",
            "fax_number": "208-852-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N 1ST E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631325",
            "telephone_number": "208-852-1563",
            "fax_number": "208-852-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "HASLAM",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "208-852-1563",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "608CP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002509500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Yugi Patten, MD
• Preston Chiropractic Clinic, Inc.
• Preston Counseling
• Preston Dental Care, PLLC
• Preston Drug Health Services LLC
• Preston Drug Inc
• Preston Drug LTC
• Preston Family Medicine
• Preston Family Medicine
• Preston Family Medicine Dba Bontrager Quick Care (Bontrager Quick Care)

• Durable Medical Equipment & Medical Supplies in Preston, ID
• Providers in Preston, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.