Active NPI
Darsons Group Inc
Doing business as Chateau Drug
- Community/Retail Pharmacy
- Ketchum, ID
National Provider Identifier
1912073552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2146RP
- Legal business name
- DARSONS GROUP INC
- Doing business as
- Chateau Drug
- Practice address
- 451 4TH St E
Ketchum, ID 83340-9401 - Phone
- (208) 726-2596
- Fax
- (208) 726-8268
- NPI assigned
- Nov 27, 2006
- Last updated
- May 16, 2016
- 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
- Ken Sangha
- Title
- Pres
- Phone
- (208) 726-5696
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 2146RP | ID | Primary |
Addresses
Primary practice location
451 4TH St E
Ketchum, ID 83340-9401
Mailing address
PO Box 9200
Ketchum, ID 83340-7143
Phone (208) 726-2596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020092 | Other | PK | |
| 807709200 | Medicaid | ID |
Other names 1
- CHATEAU DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171031002630 | ID | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163798489 | Practice locations: Ketchum, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2150657 | Chateau Drug | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Ketchum, ID
- NPI 1477982411
-
- Pharmacist
- North Bend, OR
- NPI 1528444049
-
- Community/Retail Pharmacy
- Clarkston, WA
- NPI 1306004528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463356800000",
"number": "1912073552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9200",
"city": "KETCHUM",
"state": "ID",
"postal_code": "833407143",
"telephone_number": "208-726-2596",
"fax_number": "208-726-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 4TH ST E",
"city": "KETCHUM",
"state": "ID",
"postal_code": "833409401",
"telephone_number": "208-726-2596",
"fax_number": "208-726-8268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARSONS GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2016-05-16",
"status": "A",
"authorized_official_last_name": "SANGHA",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "208-726-5696"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ID",
"license": "2146RP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2020092",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807709200",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHATEAU DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ketchum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.