Albert Paul Middleton, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P-4911 Issued in ID

Practice address

210 Main Street South
Kimberly, ID 83341-0000

Phone

(208) 423-4248

Fax

(208) 423-5767

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ridley's Family Markets, Inc

  dba Ridley's Pharmacy #8464

  • Community/Retail Pharmacy
  • Kimberly, ID
  • NPI 1003942913
  NPD (past)
• Ridleys Family Markets Inc

  dba Ridleys Pharmacy #8446

  • Community/Retail Pharmacy
  • Buhl, ID
  • NPI 1609196351
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1760717672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN STREET SOUTH",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "83341",
            "telephone_number": "208-423-4248",
            "fax_number": "208-423-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN STREET SOUTH",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833410000",
            "telephone_number": "208-423-4248",
            "fax_number": "208-423-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ALBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P-4911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lincoln-Haye, LPC
• Makona Therapy Services, LLC
• Chelsie Mansfield, RN
• Bailey Anne Medina
• Medsource Mobility LLC (Aamco Medical)
• Angela Mooney, LPC
• Makeesa Moser, COTA
• Mountain Health Systems
• Mountain View Center for Geriatric Psychiatry LLC
• New Horizons Mental Wellness Clinics

• Pharmacist in Kimberly, ID
• Providers in Kimberly, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.