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FULL CIRCLE HEALTH INC. NPI 1891047791


NPI Information

NPI: 1891047791
Provider Name: FULL CIRCLE HEALTH, INC.

Doing Business As: FULL CIRCLE HEALTH PHARMACY EMERALD

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 13D2012283

Address:
6565 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 514-2512
Get Directions

FULL CIRCLE HEALTH, INC. 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. FULL CIRCLE HEALTH, INC. NPI is 1891047791. The provider is registered as an organization entity type.
The provider Is Doing Business As Full Circle Health Pharmacy Emerald.

The provider's business location address is:

6565 W EMERALD ST
BOISE, ID
ZIP 83704-737
Phone: (208) 514-2512
Fax: (208) 514-2513

The provider's authorized official is Jared Moore .
The authorized official title is Director Of Pharmacy Services and has the following contact phone number (208) 514-2500.

The CLIA number assigned to this NPI record is 13D2012283 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 4/29/2022.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy20358RPIDAHOYes

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
11891047791MEDICAIDIDAHO
22138142OTHERPK

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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