Active NPI
Lobos Acquisition LLC
- Long Term Care Pharmacy
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- LOBOS ACQUISITION LLC
- Practice address
- 320 E Corporate Dr
#320
Meridian, ID 83642-3510 - Phone
- (208) 895-8399
- NPI assigned
- Jun 24, 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
- Susan Colbert
- Title
- Sr Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
320 E Corporate Dr
#320
Meridian, ID 83642-3510
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 2
- Omnicare of Boise
- Omnicare of Boise #48237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930069604 | ID | DME Supplier - Pharmacy | 6709092786 | Practice locations: Meridian, 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Omnicare of Boise #48237 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1174559694
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1174559694
Member Of
Locations
6767 Old Madison Pike NW
Ste 220
Huntsville, AL 35806
Phone (256) 922-1777
320 E Corporate Dr
Ste 320
Meridian, ID 83642
Phone (208) 895-8399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551398400000",
"number": "1992731533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E CORPORATE DR",
"address_2": "#320",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423510",
"telephone_number": "208-895-8399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOBOS ACQUISITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2019-03-01",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Omnicare of Boise",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Omnicare of Boise #48237",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.