Medical Clinic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2373RP Issued in ID

Legal business name

MEDICAL CLINIC PHARMACY INC

Practice address

315 E Elm St
Suite150
Caldwell, ID 83605-4857

Phone

(208) 459-1503

Fax

(208) 459-1504

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Tyler HigginsNPI 1740312859

Title

President

Phone

(208) 459-1503

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medical Clinic Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Carl Higgins, PHARMD

  • Pharmacist
  • Caldwell, ID
  • NPI 1740312859
  NPD Authorized official
• Michael Thomas McKinney, RPH

  • Pharmacist
  • Caldwell, ID
  • NPI 1235632258
  NPD (past)
• Amy E Oaks, PHARMD.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Homedale, ID
  • NPI 1215430483
  NPD (past)
• Kellye Schab

  • Pharmacist
  • Caldwell, ID
  • NPI 1912400078
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1962581652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E ELM ST",
            "address_2": "SUITE150",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054857",
            "telephone_number": "208-459-1503",
            "fax_number": "208-459-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ELM ST",
            "address_2": "SUITE150",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054857",
            "telephone_number": "208-459-1503",
            "fax_number": "208-459-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-459-1503"
    },
    "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": "2373RP",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962581652",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123594",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabetha McHail
• Caleb Tyler McKee, DO
• Michael Thomas McKinney, RPH
• Maribel McMinn
• Med Air, Inc.
• Annamaria Melton, D.O.
• Alexandra Mendez, LMSW
• Micah S Mills OD PA
• Michael D Kenner, MD,PC
• Jacob Michelsen, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.

Verify at the official NPI Registry.