RED ROCK PHARMACY INCORPORATED NPI 1902832314

NPI Information

NPI: 1902832314
Provider Name: RED ROCK PHARMACY INCORPORATED

Doing Business As: R & R PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
133 W AVENUE A
JEROME, ID
ZIP 83338
Phone: (208) 324-3528
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RED ROCK PHARMACY INCORPORATED is a durable medical equipment medical supplies in Jerome, ID. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RED ROCK PHARMACY INCORPORATED NPI is 1902832314. The provider is registered as an organization entity type.
The provider Is Doing Business As R & R Pharmacy.

The provider's business location address is:

133 W AVENUE A
JEROME, ID
ZIP 83338-601
Phone: (208) 324-3528
Fax: (208) 324-4599

The provider's authorized official is Edward Snell .
The authorized official title is Owner and has the following contact phone number (208) 324-3528.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 9/29/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	1804CP	IDAHO	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	1804CP	IDAHO	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		1804CP	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	806707800	MEDICAID	IDAHO
2	1369335	MEDICARE PIN	IDAHO
3	806707900	MEDICAID	IDAHO
4	5074880001	MEDICARE NSC	IDAHO

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: 5/5/2024

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