Teton Pharmacy in Ammon

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TETON PHARMACY IN AMMON

Practice address

3160 E 17TH St Ste 164
Ammon, ID 83406-6784

Phone

(208) 529-1795

Fax

(208) 529-1838

NPI assigned

Oct 27, 2015

Organization subpart

Yes

Parent organization

TETON CLINICAL PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Philip Harper, DMD

Title

Owner

Phone

(208) 529-3638

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Teton Pharmacy in Ammon Doing business as

Part of

Teton Clinical Pharmacy Inc

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.

• Teton Clinical Pharmacy Inc

  • Community/Retail Pharmacy
  • Idaho Falls, ID
  • NPI 1316949910
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Wheatley, PHARMD

  • Pharmacist
  • Idaho Falls, ID
  • NPI 1679963227
  NPD

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1831561034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 JAFER CT",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045587",
            "telephone_number": "208-529-3636",
            "fax_number": "208-529-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 E 17TH ST STE 164",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066784",
            "telephone_number": "208-529-1795",
            "fax_number": "208-529-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON PHARMACY IN AMMON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TETON CLINICAL PHARMACY INC",
        "enumeration_date": "2015-10-27",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-529-3638",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831561034",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154929",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043629397",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teton Pharmacy in Ammon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teton Pharmacy in Ammon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunny Smiles Pediatric Dentistry PLLC
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• Ethan Aldon Tall, PT, DPT
• Aaron Taylor, OD
• Mark S Taylor, PT
• Teton Retinal Institute PA
• The American Health Corporation
• The Chidlren'S Center
• The Children'S Center
• The Children'S Center

• Community/Retail Pharmacy in Ammon, ID
• Providers in Ammon, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.