Active NPI
Abbey L. Mayes, PHARMD
- Pharmacist
- Middleton, ID
National Provider Identifier
1912212465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6260
- Practice address
- 430 E Main St
Middleton, ID 83644-3036 - Phone
- (208) 585-2900
- NPI assigned
- Aug 9, 2010
- Last updated
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6260 | ID | Primary |
Addresses
Primary practice location
430 E Main St
Middleton, ID 83644-3036
Mailing address
430 E Main St
Middleton, ID 83644-3036
Phone (208) 585-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6260 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridleys Family Markets Inc | Past | Accepting new patients | |
| Ridleys Family Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ridleys Pharmacy #8442
- Community/Retail Pharmacy
- Middleton, ID
- NPI 1124155577
-
dba Ridleys Pharmacy #8446
- Community/Retail Pharmacy
- Buhl, ID
- NPI 1609196351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1912212465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E MAIN ST",
"city": "MIDDLETON",
"state": "ID",
"postal_code": "836443036",
"telephone_number": "208-585-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E MAIN ST",
"city": "MIDDLETON",
"state": "ID",
"postal_code": "836443036",
"telephone_number": "208-585-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "ABBEY",
"middle_name": "L.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleton, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.