Organization Active NPI

Blink RX LLC

Doing business as BlinkRx

  • Pharmacy
  • Boise, ID
National Provider Identifier
1891461885
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BLINK RX LLC
Doing business as
BlinkRx
Practice address
12639 W Explorer Dr Ste 100
Boise, ID 83713-1615
Phone
(208) 214-8961
NPI assigned
Aug 19, 2021
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Mr. Michael Nameth
Title
Evp, Cloud and Specialty Pharmacy
Phone
(412) 266-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

12639 W Explorer Dr Ste 100
Boise, ID 83713-1615

Mailing address

12639 W Explorer Dr Ste 100
Boise, ID 83713-1615
Phone (208) 214-8961

Other identifiers 1

IdentifierTypeStateIssuer
RDO74435OtherIDBOARD OF PHARMACY

Other names 1

  • BlinkRx Doing business as

National Provider Directory

National Provider Directory

Locations

4696 W Overland Rd
Ste 274
Boise, ID 83705
Phone (844) 926-2480

12639 W Explorer Dr
Ste 100
Boise, ID 83713
Phone (208) 214-8961

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1891461885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 W EXPLORER DR STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131615",
            "telephone_number": "208-214-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12639 W EXPLORER DR STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131615",
            "telephone_number": "208-214-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLINK RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "NAMETH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EVP, CLOUD AND SPECIALTY PHARMACY",
        "authorized_official_telephone_number": "412-266-5515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "RDO74435",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlinkRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BlinkRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.