MPRX Caldwell Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MPRX CALDWELL INC

Practice address

4618 Beacon LN Ste 100
Caldwell, ID 83605-4879

Phone

(208) 204-5900

Fax

(208) 204-5901

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Devin R Trone, PHARMD

Title

President

Phone

(208) 288-1496

Specialties & licenses 1

Addresses

Other names 1

• Medicap Pharmacy 8438 Doing business as

Tax ID family

Medicap Pharmacy 84382 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.

• MPRX Caldwell Inc

  • Community/Retail Pharmacy
  • Caldwell, ID
  • NPI 1144890476
  NPD tax ID

Locations

Practitioners 1

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

• Benjamin Watkins, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Meridian, ID
  • NPI 1962787630
  NPD (past)

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1508545237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W CHERRY LN STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421102",
            "telephone_number": "208-204-5900",
            "fax_number": "208-204-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 BEACON LN STE 100",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054879",
            "telephone_number": "208-204-5900",
            "fax_number": "208-204-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPRX CALDWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "TRONE",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-288-1496",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy 8438",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian W Moss, M.D.
• Cynthia Mott, LCPC
• Travis Reed Moulton, DO
• Mountain Telerad, PLLC
• MPRX Caldwell Inc
• Brittany Highsmith Mulrony, O.D.
• Brendan Bryan Munk, BI
• Lorelei Munoz, LMSW
• Jade D. Muntz, L.M.S.W
• Rhonda Murray-Thomas, LMSW

• All providers in Caldwell, ID
• Long Term Care Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.