NPIMap

Organization Active NPI

Kellogg Drugs LLC

Doing business as Sunnyside Drug

  • Long Term Care Pharmacy
  • Kellog, ID
National Provider Identifier
1629667787
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KELLOGG DRUGS LLC
Doing business as
Sunnyside Drug
Practice address
131 West Cameron Ave
Kellog, ID 83837
Phone
(208) 784-6221
Fax
(208) 786-1602
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Alpesh PatelNPI 1265974406
Title
Owner
Phone
(813) 304-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

131 West Cameron Ave
Kellog, ID 83837

Mailing address

131 West Cameron Ave
Kellog, ID 83837
Phone (208) 784-6221

Other names 1

  • Sunnyside Drug Doing business as

National Provider Directory

National Provider Directory

Locations

131 W Cameron Ave
Kellogg, ID 83837
Phone (208) 784-6221

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1629667787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WEST CAMERON AVE",
            "city": "KELLOG",
            "state": "ID",
            "postal_code": "83837",
            "telephone_number": "208-784-6221",
            "fax_number": "208-786-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WEST CAMERON AVE",
            "city": "KELLOG",
            "state": "ID",
            "postal_code": "83837",
            "telephone_number": "208-784-6221",
            "fax_number": "208-786-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLOGG DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-304-2221"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kellog, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.