Active NPI
HB Ventures RX LLC
- Community/Retail Pharmacy
- Meridian, ID
National Provider Identifier
1891017208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2389RP
- Legal business name
- HB VENTURES RX LLC
- Practice address
- 3355 E Louise Dr
Meridian, ID 83642-5047 - Phone
- (208) 288-4341
- Fax
- (208) 288-4374
- NPI assigned
- Feb 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patti Feeney, BBA
- Title
- Business Manager
- Phone
- (208) 288-4341
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2389RP | ID | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3355 E Louise Dr
Meridian, ID 83642-5047
Mailing address
3355 E Louise Dr
Meridian, ID 83642-5047
Phone (208) 288-4341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123967 | Other | PK |
Other names 1
- PORTICO PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Meridian, ID
- NPI 1497201255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476230400000",
"number": "1891017208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 E LOUISE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425047",
"telephone_number": "208-288-4341",
"fax_number": "208-288-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 E LOUISE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425047",
"telephone_number": "208-288-4341",
"fax_number": "208-288-4374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HB VENTURES RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-26",
"last_updated": "2016-10-12",
"status": "A",
"authorized_official_last_name": "FEENEY",
"authorized_official_first_name": "PATTI",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "208-288-4341",
"authorized_official_credential": "BBA"
},
"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": "2389RP",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2123967",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PORTICO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.