Organization Active NPI

RCP Inc

Doing business as Bobs Pharmacy

  • Community/Retail Pharmacy
  • Pocatello, ID
National Provider Identifier
1912918418
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1399CP Issued in ID
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

Updated by the provider on Aug 3, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
805328100MedicaidID
1306112OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BOBS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.