NPIMap

Organization Active NPI

R & J Pharmacy, Inc

  • Community/Retail Pharmacy
  • Blackfoot, ID
National Provider Identifier
1902149180
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
FP3773567 Issued in ID
Legal business name
R & J PHARMACY, INC
Doing business as
Pharmacy Shop Express
Practice address
1441 Parkway Dr
Blackfoot, ID 83221-1667
Phone
(208) 684-7011
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Robert N Miller, PHARM-D
Title
President
Phone
(208) 785-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X FP3773567 ID Primary

Addresses

Primary practice location

1441 Parkway Dr
Blackfoot, ID 83221-1667

Mailing address

69 N Pine St
Blackfoot, ID 83221-2053
Phone (208) 785-3510

Other identifiers 1

IdentifierTypeStateIssuer
FP3773567OtherIDIDAHO BOARD OF PHARMACY

Other names 1

  • Pharmacy Shop Express Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Shop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1902149180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 N PINE ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212053",
            "telephone_number": "208-785-3510",
            "fax_number": "208-785-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211667",
            "telephone_number": "208-684-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & J PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-785-3510",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "FP3773567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF PHARMACY",
            "identifier": "FP3773567",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Shop Express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.