Prescription Center Home Care, LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

Legal business name

PRESCRIPTION CENTER HOME CARE, LLC

Practice address

2250 Coronado St
Idaho Falls, ID 83404-7552

Phone

(208) 528-7979

Fax

(208) 523-2238

NPI assigned

May 31, 2005

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ned Hillyard

Title

Owner/Manager

Phone

(208) 709-4571

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mountain View Hospital LLC

  dba Pain and Spine Specialists of Idaho

  • Pain Medicine Physician
  • Pocatello, ID
  • NPI 1699141150

  Member Of

  NPD member

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Kevin Pullen, RPH

  • Pharmacotherapy Pharmacist
  • Idaho Falls, ID
  • NPI 1417940578
  NPD
• Brian W Byrd, PHARMD

  • Pharmacist
  • Idaho Falls, ID
  • NPI 1114638624
  NPD (past)
• Yazmin J Frodin

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Idaho Falls, ID
  • NPI 1124785696
  NPD (past)
• John Worley Hall, PHARMD

  • Pharmacist
  • Idaho Falls, ID
  • NPI 1942880687
  NPD (past)
• Letitia Anne Williams, R.PH.

  • Pharmacist
  • Idaho Falls, ID
  • NPI 1386738565
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1881697118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047552",
            "telephone_number": "208-528-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047552",
            "telephone_number": "208-528-7979",
            "fax_number": "208-523-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION CENTER HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "HILLYARD",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-709-4571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002645900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002646000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precision Family Medicine & Aesthetics LLC
• Precision Medical Care LLC
• Stephen R Preece, M.D.
• Premier Eye Care of Eastern Idaho
• Premium Choice Homecare
• Prescription Center, LLC
• Prescription Center, LLC
• Prescription Center, LLC
• Hyrum Bert Prestwich, FNP-C
• Anjelica Price

• Home Infusion Therapy Pharmacy in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Home Infusion Therapy Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.