Active NPI
Ram Pharma, Inc.
- Compounding Pharmacy
- Idaho Falls, ID
National Provider Identifier
1518401512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- OSF42972
- Legal business name
- RAM PHARMA, INC.
- Practice address
- 1125 Hollipark Dr
Idaho Falls, ID 83401-5806 - Phone
- (208) 419-0613
- NPI assigned
- Dec 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert A Myers, PH.D.
- Title
- President
- Phone
- (208) 419-0613
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | OSF42972 | ID | Primary |
Addresses
Primary practice location
1125 Hollipark Dr
Idaho Falls, ID 83401-5806
Mailing address
1125 Hollipark Dr
Idaho Falls, ID 83401-5806
Phone (208) 419-0613
National Provider Directory
National Provider DirectoryLocations
1125 Hollipark Dr
Idaho Falls, ID 83401
Phone (208) 419-0613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481241600000",
"number": "1518401512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 HOLLIPARK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015806",
"telephone_number": "208-419-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 HOLLIPARK DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015806",
"telephone_number": "208-419-0613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAM PHARMA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-09",
"last_updated": "2016-12-09",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-419-0613",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "ID",
"license": "OSF42972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.