DJ Garden Valley Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DJ GARDEN VALLEY PHARMACY

Practice address

284 Village Cir Ste 100
Garden Valley, ID 83622-8038

Phone

(208) 901-8006

Fax

(208) 901-8007

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Devin R Trone, PHARMD

Title

President

Phone

(208) 288-1496

Specialties & licenses 1

Addresses

Other names 1

• Medicap Pharmacy 8427 Doing business as

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1700565439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W CHERRY LN STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421102",
            "telephone_number": "208-901-8006",
            "fax_number": "208-901-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 VILLAGE CIR STE 100",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836228038",
            "telephone_number": "208-901-8006",
            "fax_number": "208-901-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ GARDEN VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "TRONE",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-288-1496",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy 8427",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Bollich, MS OTR/L
• Benjamin Dean Brown, PA-C
• County of Boise 71 Garden Valley
• Sharon Lynne Cranston
• Crouch Volunteer Ambulance Service, Inc
• DJ Garden Valley Pharmacy Inc
• Garden Valley Family Medicine PC
• Garden Valley Fire Protection
• Michael R Koenig, MD
• Lifestar Rural EMS Solutions

• Long Term Care Pharmacy in Garden Valley, ID
• Providers in Garden Valley, 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 Jul 11, 2023; 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.