B and B Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

421CP Issued in ID

Legal business name

B AND B DRUG INC

Practice address

2425 Channing Way
Idaho Falls, ID 83404-8059

Phone

(208) 523-2277

Fax

(208) 552-1246

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Neil Tetsuo Komoda, RPH

Title

President

Phone

(208) 523-2277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1942340906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048059",
            "telephone_number": "208-523-2277",
            "fax_number": "208-552-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048059",
            "telephone_number": "208-523-2277",
            "fax_number": "208-552-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B AND B DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "KOMODA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "TETSUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-523-2277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "421CP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002304900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Idaho Falls, ID
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.