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INNOVATIVE CARE PHARMACY NPI 1407966229


NPI Information

NPI: 1407966229
Provider Name: INNOVATIVE CARE PHARMACY

Doing Business As: INNOVATIVE CARE PHARMACY LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
9196 W EMERALD ST
STE 110
BOISE, ID
ZIP 83704
Phone: (208) 323-1259
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INNOVATIVE CARE PHARMACY is a community/retail pharmacy pharmacy in Boise, ID. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. INNOVATIVE CARE PHARMACY NPI is 1407966229. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Care Pharmacy Llc.

The provider's business location address is:

9196 W EMERALD ST
STE 110
BOISE, ID
ZIP 83704-679
Phone: (208) 323-1259
Fax: (208) 323-8934

The provider's authorized official is Sheila Moore .
The authorized official title is Vp Purchasing and has the following contact phone number (817) 552-7630.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy2303CPIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11307619OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
25105980001MEDICARE NSC
3806967700MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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