NPIMap

Organization Active NPI

R & J Pharmacy Inc.

  • Durable Medical Equipment & Medical Supplies
  • Blackfoot, ID
National Provider Identifier
1508080557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
R & J PHARMACY INC.
Doing business as
Pharmacy Shop
Practice address
69 N Pine St
Blackfoot, ID 83221-2053
Phone
(208) 785-3510
Fax
(208) 785-7317
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Nathan Miller, PHARMD
Title
Pharmacist
Phone
(208) 785-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

69 N Pine St
Blackfoot, ID 83221-2053

Mailing address

69 N Pine St
Blackfoot, ID 83221-2053
Phone (208) 785-3510

Other names 1

  • Pharmacy Shop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Shop2 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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508080557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 N PINE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212053",
            "telephone_number": "208-785-3510",
            "fax_number": "208-785-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 N PINE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212053",
            "telephone_number": "208-785-3510",
            "fax_number": "208-785-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & J PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "208-785-3510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.