Active NPI
Hunters Inc
Doing business as Corner Drug
- Community/Retail Pharmacy
- Driggs, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 108RP
- Legal business name
- HUNTERS INC
- Doing business as
- Corner Drug
- Practice address
- 10 S Main St
Driggs, ID 83422-9700 - Phone
- (208) 354-2334
- Fax
- (208) 354-3646
- NPI assigned
- Aug 20, 2006
- Last updated
- Feb 22, 2022
- 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
- Aaron Myler
- Title
- Manager
- Phone
- (208) 354-2334
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 108RP | ID | Primary |
Addresses
Primary practice location
10 S Main St
Driggs, ID 83422-9700
Mailing address
PO Box 758
Driggs, ID 83422-0758
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019759 | Other | PK | |
| 1942315973 | Medicaid | ID |
Other names 1
- CORNER DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210603003369 | ID | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618095688 | Practice locations: Driggs, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2195107 | Corner Drug | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- City Drug Ashton
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
10 S Main St
Driggs, ID 83422
Phone (208) 354-2334
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.
-
- Pharmacist
- Driggs, ID
- NPI 1942712328
-
- Pharmacist
- Driggs, ID
- NPI 1710138771
-
- Pharmacist
- Driggs, ID
- NPI 1154878593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1942315973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834220758",
"fax_number": "208-354-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S MAIN ST",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834229700",
"telephone_number": "208-354-2334",
"fax_number": "208-354-3646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A",
"authorized_official_last_name": "MYLER",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "208-354-2334"
},
"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": "108RP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2019759",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942315973",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CORNER DRUG",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CORNER DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.