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GEMSTATE PHARMACY GROUP INC NPI 1053742577


NPI Information

NPI: 1053742577
Provider Name: GEMSTATE PHARMACY GROUP INC

Doing Business As: MEDICAP LTC PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
800 S INDUSTRY WAY STE 330
MERIDIAN, ID
ZIP 83642
Phone: (208) 287-3733
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GEMSTATE PHARMACY GROUP INC is a long term care pharmacy pharmacy in Meridian, ID. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GEMSTATE PHARMACY GROUP INC NPI is 1053742577. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicap Ltc Pharmacy.

The provider's business location address is:

800 S INDUSTRY WAY STE 330
MERIDIAN, ID
ZIP 83642-598
Phone: (208) 287-3733
Fax: (208) 258-6756

The provider's authorized official is Blair Whitney .
The authorized official title is Greffier and has the following contact phone number (360) 543-7376.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 7/19/2018.


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
23336L0003XPharmacyLong Term Care Pharmacy40843LSIDAHOYes

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
11053742577MEDICAIDIDAHO
22157649OTHERPK

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: 11/14/2023

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