Red Cross Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

865RP Issued in ID

Legal business name

RED CROSS PHARMACY INC

Practice address

509 E Main St
Kendrick, ID 83537-0131

Phone

(208) 289-5941

Fax

(208) 289-5942

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Daniel Everett, B PHARM

Title

Pharmacist in Charge

Phone

(208) 289-5941

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RED CROSS PHARMACY INC Doing business as

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1780665463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "KENDRICK",
            "state": "ID",
            "postal_code": "835370131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E MAIN ST",
            "city": "KENDRICK",
            "state": "ID",
            "postal_code": "835370131",
            "telephone_number": "208-289-5941",
            "fax_number": "208-289-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CROSS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACIST  IN CHARGE",
        "authorized_official_telephone_number": "208-289-5941",
        "authorized_official_credential": "B PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "865RP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002709100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2020091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED CROSS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Kendrick, ID
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.