Organization Active NPI

Darsons Group Inc

Doing business as Chateau Drug

  • Community/Retail Pharmacy
  • Ketchum, ID
National Provider Identifier
1912073552
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2146RP Issued in ID
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2020092OtherPK
807709200MedicaidID

Other names 1

  • CHATEAU DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031002630 ID Part B Supplier - Mass Immunization (Roster Biller Only) 2163798489 Practice locations: Ketchum, ID

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2150657Chateau Drug451 4TH St, Ketchum, ID 83340Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.