Organization Active NPI

Tamarack Pharmacy LLC

Doing business as Tamarack Pharmacy Ironwood

  • Community/Retail Pharmacy
  • Coeur d'Alene, ID
National Provider Identifier
1801689781
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TAMARACK PHARMACY LLC
Doing business as
Tamarack Pharmacy Ironwood
Practice address
204 W Ironwood Dr Ste 204E
Coeur D Alene, ID 83814-1419
Phone
(208) 457-4112
Fax
(208) 457-4122
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

204 W Ironwood Dr Ste 204E
Coeur D Alene, ID 83814-1419

Mailing address

805 E Polston Ave Ste 1
Post Falls, ID 83854-6044

Other names 1

  • Tamarack Pharmacy Ironwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tamarack Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

204 W Ironwood Dr
Ste 204E
Coeur D Alene, ID 83814
Phone (208) 457-4112

805 E Polston Ave
Ste 1
Post Falls, ID 83854

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1801689781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E POLSTON AVE STE 1",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W IRONWOOD DR STE 204E",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141419",
            "telephone_number": "208-457-4112",
            "fax_number": "208-457-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "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 Ironwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.