Organization Active NPI

Tamarack Pharmacy LLC

Doing business as Tamarack Pharmacy

  • Community/Retail Pharmacy
  • Post Falls, ID
National Provider Identifier
1659187383
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TAMARACK PHARMACY LLC
Doing business as
Tamarack Pharmacy
Practice address
805 E Polston Ave
Post Falls, ID 83854-6044
Phone
(208) 457-4112
Fax
(208) 457-4122
NPI assigned
Dec 7, 2024
Last updated
Dec 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Authorized official

Name
Jeffrey Harrell, PHARMD
Title
Owner
Phone
(360) 859-8659

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

805 E Polston Ave
Post Falls, ID 83854-6044

Mailing address

6057 E Alina Dr
Coeur D Alene, ID 83814-2141

Other identifiers 1

IdentifierTypeStateIssuer
IDTPID025435MedicaidID

Other names 1

  • Tamarack Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250530000220 ID Part B Supplier - Pharmacy 6901315274 Practice locations: Post Falls, ID

National Provider Directory

National Provider Directory
Tax ID family
Tamarack Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

805 E Polston Ave
Post Falls, ID 83854
Phone (208) 457-4112

NPI Registry JSON

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1659187383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 E ALINA DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546044",
            "telephone_number": "208-457-4112",
            "fax_number": "208-457-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-07",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-859-8659",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTPID025435",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamarack Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.