NPIMap

Organization Active NPI

K2Red LLC

  • Community/Retail Pharmacy
  • Wendell, ID
National Provider Identifier
1508420373
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
K2RED LLC
Practice address
447 N Idaho St
Wendell, ID 83355
Phone
(208) 734-7373
Fax
(208) 734-7389
NPI assigned
Apr 27, 2019
Last updated
May 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Daniel Scott Fuchs, RPHNPI 1760908545
Title
Member
Phone
(208) 734-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

447 N Idaho St
Wendell, ID 83355

Mailing address

447 N Idaho St
Wendell, ID 83355
Phone (208) 734-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140325001579 ID Part B Supplier - Mass Immunization (Roster Biller Only) 1557480464 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Twin Falls, ID; Wendell, ID; Jerome, ID; Buhl, ID

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Medsync Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

447 N Idaho St
Wendell, ID 83355
Phone (208) 536-9968

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1508420373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N IDAHO ST",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "83355",
            "telephone_number": "208-734-7373",
            "fax_number": "208-734-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N IDAHO ST",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "83355",
            "telephone_number": "208-734-7373",
            "fax_number": "208-734-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K2RED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-734-7373",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.