NPIMap

Organization Active NPI

Vic's Family Pharmacy Inc

  • Long Term Care Pharmacy
  • Nampa, ID
National Provider Identifier
1740879097
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
VIC'S FAMILY PHARMACY INC
Practice address
118 S Midland Blvd
Nampa, ID 83686-2601
Phone
(208) 442-1000
Fax
(208) 442-1091
NPI assigned
Jan 12, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VIC'S FAMILY PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mr. Victor F Allen, R.PH.NPI 1700143872
Title
Owner/Pharmacist
Phone
(208) 465-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

118 S Midland Blvd
Nampa, ID 83686-2601

Mailing address

119 S Valley Dr Ste a
Nampa, ID 83686-2985
Phone (208) 465-7000

Other names 1

  • Vic's Family Pharmacy LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Vics Family Pharmacy Inc4 organizations share this tax ID, including this one
Part of
Vics Family Pharmacy Inc

Other organizations with this tax ID 3

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

Locations

119 S Valley Dr
Ste A
Nampa, ID 83686

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1740879097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S VALLEY DR STE A",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862985",
            "telephone_number": "208-465-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862601",
            "telephone_number": "208-442-1000",
            "fax_number": "208-442-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIC'S FAMILY PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIC'S FAMILY PHARMACY INC",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "208-465-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vic's Family Pharmacy LTC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vic's Family Pharmacy LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.