K2Red LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

K2RED LLC

Doing business as

Medsync Pharmacy

Practice address

801 S Vista Ave
Boise, ID 83705-2424

Phone

(208) 364-7777

Fax

(208) 364-7778

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Daniel S Fuchs, RPH

Title

Member/RPH

Phone

(208) 364-7777

Specialties & licenses 2

Addresses

Other names 1

• Medsync Pharmacy Doing business as

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1629456926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S VISTA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052424",
            "telephone_number": "208-364-7777",
            "fax_number": "208-364-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S VISTA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052424",
            "telephone_number": "208-364-7777",
            "fax_number": "208-364-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K2RED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER/RPH",
        "authorized_official_telephone_number": "208-364-7777",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medsync Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristie Kaes, LCSW
• Addison Michele Kaess, OTR/L

• Community/Retail Pharmacy in Boise, ID
• Providers in Boise, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.