Continued Care LTC Pharmacy Idaho LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CONTINUED CARE LTC PHARMACY IDAHO LLC

Practice address

9196 W Emerald St Ste 125
Boise, ID 83704-9049

Phone

(888) 277-2132

NPI assigned

Apr 27, 2019

Organization subpart

No

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

Authorized official

Name

Brandon Hagen

Title

General Manager

Phone

(888) 557-4318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1609430479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840651250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9196 W EMERALD ST STE 125",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049049",
            "telephone_number": "888-277-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUED CARE LTC PHARMACY IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "888-557-4318"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Conrad, MD
• Raymond Conrad, LSW
• Whitney Blanchard Conrad, ARNP
• Consultants in Epilepsy and Neurology, PLLC
• Continual Wellness LLC
• Coby Contreras, PT, DPT
• Sherri Kay Contreras, CRNA
• Zoe Esperanza Contreras
• Convergence Chiropractic Company
• Mary Edith Conway, MS, CGC

• Long Term Care Pharmacy in Boise, ID
• Providers in Boise, ID by specialty
• Long Term Care Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.