Osburn Drug Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME431 Issued in ID

Legal business name

OSBURN DRUG CO

Practice address

16376 N Highway 41
Rathdrum, ID 83858-8735

Phone

(208) 687-0731

Fax

(208) 556-1139

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald D. Lavigne, R.PH.

Title

President

Phone

(208) 556-1139

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Rathdrum Drug Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1780778233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2170",
            "city": "OSBURN",
            "state": "ID",
            "postal_code": "838492170",
            "telephone_number": "208-687-0731",
            "fax_number": "208-687-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16376 N HIGHWAY 41",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588735",
            "telephone_number": "208-687-0731",
            "fax_number": "208-556-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBURN DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "LAVIGNE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-556-1139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "DME431",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "ID",
            "license": "DME431",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ID",
            "license": "CP477",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "CP477",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ID",
            "license": "DME431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002450401",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rathdrum Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natashia M Nelson, ARNP
• Matthew David Nordlie, DMD
• North Idaho Day Surgery LLC
• North Idaho Eye Clinics, Inc
• On the Go Pediatric Therapy LLC
• Jeffrey Lee Oswell, D.M.D.
• Kimberly K Palmer, LM CPM
• Michelle Marie Parks
• Rathdrum Clinic, Inc.
• Rathdrum Counseling Center LLC

• All providers in Rathdrum, ID
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.