Active NPI
RCP Inc
Doing business as Bobs Pharmacy
- Community/Retail Pharmacy
- Pocatello, ID
National Provider Identifier
1912918418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1399CP
- Legal business name
- RCP INC
- Doing business as
- Bobs Pharmacy
- Practice address
- 777 Hospital Way Ste 303
Pocatello, ID 83201-5175 - Phone
- (208) 269-7135
- Fax
- (208) 478-9172
- NPI assigned
- Aug 10, 2006
- 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
- Bob Newsom
- Title
- President
- Phone
- (208) 269-7135
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1399CP | ID | Primary |
Addresses
Primary practice location
777 Hospital Way Ste 303
Pocatello, ID 83201-5175
Mailing address
777 Hospital Way
Suite 303
Pocatello, ID 83201-5175
Phone (208) 269-7135
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805328100 | Medicaid | ID | |
| 1306112 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- BOBS PHARMACY
National Provider Directory
National Provider DirectoryLocations
777 Hospital Way
Ste 303
Pocatello, ID 83201
Phone (208) 269-7135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343952000000",
"number": "1912918418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY",
"address_2": "SUITE 303",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015175",
"telephone_number": "208-269-7135",
"fax_number": "208-478-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HOSPITAL WAY STE 303",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015175",
"telephone_number": "208-269-7135",
"fax_number": "208-478-9172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RCP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2012-08-03",
"status": "A",
"authorized_official_last_name": "NEWSOM",
"authorized_official_first_name": "BOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-269-7135"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ID",
"license": "1399CP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805328100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1306112",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BOBS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.