NPIMap

Organization Active NPI

Full Circle Health, Inc.

  • Community/Retail Pharmacy
  • Meridian, ID
National Provider Identifier
1710525829
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FULL CIRCLE HEALTH, INC.
Practice address
2275 S Eagle Rd Ste 120
Meridian, ID 83642-2620
Phone
(209) 954-8722
Fax
(208) 954-8723
NPI assigned
Dec 19, 2019
Organization subpart
Yes
Parent organization
FULL CIRCLE HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Jared Lee Moore, PHARMD
Title
Director of Pharmacy Services
Phone
(208) 514-2500

Specialties & licenses 1

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

Addresses

Primary practice location

2275 S Eagle Rd Ste 120
Meridian, ID 83642-2620

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other names 1

  • Full Circle Health Pharmacy Meridian Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Full Circle Health Inc5 organizations share this tax ID, including this one
Part of
Full Circle Health Inc

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1710525829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S EAGLE RD STE 120",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422620",
            "telephone_number": "209-954-8722",
            "fax_number": "208-954-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULL CIRCLE HEALTH, INC.",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "208-514-2500",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Health Pharmacy Meridian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.