Mederx, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MEDERX, LLC

Practice address

922 W Colchester Dr
Eagle, ID 83616-5892

Phone

(208) 938-5459

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Alan Barkan

Title

President

Phone

(208) 938-5459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1912307885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2614",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836169121",
            "telephone_number": "805-217-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 W COLCHESTER DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165892",
            "telephone_number": "208-938-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDERX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "BARKAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-938-5459"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Donald McGregor, MD
• Alan Wallace McInnes Jr., M.D.
• Kylee A McManus
• Kathryn L McMullan, M.D.
• Jennifer McWaters, PSY.D.
• Medical Fitness Center LLC
• Mednow Inc (MedNow Eagle Pharmacy)
• Megan Meduna, MSPT
• Bethany Joy Mello, NP-C
• Lindsey Mepham

• Non-Pharmacy Dispensing Site in Eagle, ID
• Providers in Eagle, ID by specialty
• Non-Pharmacy Dispensing Site in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.