Active NPI
Tamarack Pharmacy LLC
Doing business as Tamarack Pharmacy Rathdrum
- Community/Retail Pharmacy
- Rathdrum, ID
National Provider Identifier
1720948524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TAMARACK PHARMACY LLC
- Doing business as
- Tamarack Pharmacy Rathdrum
- Practice address
- 15837 N Westwood Dr
Rathdrum, ID 83858-6432 - Phone
- (208) 470-0035
- Fax
- (208) 470-0036
- NPI assigned
- Nov 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Shane Harrell, PHARMD
- Title
- Owner
- Phone
- (360) 859-8659
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
15837 N Westwood Dr
Rathdrum, ID 83858-6432
Mailing address
PO Box B
Ilwaco, WA 98624-0167
Phone (208) 470-0035
Other names 1
- Tamarack Pharmacy Rathdrum
National Provider Directory
National Provider Directory- Tax ID family
- Tamarack Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Tamarack Pharmacy Ironwood
- Community/Retail Pharmacy
- Coeur d'Alene, ID
- NPI 1801689781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1720948524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX B",
"city": "ILWACO",
"state": "WA",
"postal_code": "986240167",
"telephone_number": "208-470-0035",
"fax_number": "208-470-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15837 N WESTWOOD DR",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838586432",
"telephone_number": "208-470-0035",
"fax_number": "208-470-0036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMARACK PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-13",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "HARRELL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "SHANE",
"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": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tamarack Pharmacy Rathdrum",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rathdrum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.