DJ Garden Valley Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DJ GARDEN VALLEY PHARMACY

Doing business as

Medicap Pharmacy 8427

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

Last updated

Jul 11, 2023By the provider in NPPES

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, PHARMDNPI 1972957645

Title

President

Phone

(208) 288-1496

Specialties & licenses 1

Addresses

Other names 1

• Medicap Pharmacy 8427 Doing business as

Locations

Practitioners 1

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.

• Devin R Trone, PHARMD

  • Pharmacist
  • Meridian, ID
  • NPI 1972957645
  Authorized official Same address or phone

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 (Medicap Pharmacy #8427)
• 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.