Organization Active NPI

Ram Pharma, Inc.

  • Compounding Pharmacy
  • Idaho Falls, ID
National Provider Identifier
1518401512
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
OSF42972 Issued in ID
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

Updated by the provider on Dec 9, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.