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RIDLEY'S FAMILY MARKETS INC NPI 1316072630


NPI Information

NPI: 1316072630
Provider Name: RIDLEY'S FAMILY MARKETS, INC

Doing Business As: RIDLEY'S PHARMACY #8445

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 13D2019640

Address:
1427 MAIN ST
GOODING, ID
ZIP 83330
Phone: (208) 934-4709
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RIDLEY'S FAMILY MARKETS, INC is a community/retail pharmacy pharmacy in Gooding, 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. RIDLEY'S FAMILY MARKETS, INC NPI is 1316072630. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridley's Pharmacy #8445.

The provider's business location address is:

1427 MAIN ST
GOODING, ID
ZIP 83330-838
Phone: (208) 934-4709
Fax: (208) 934-4905

The provider's authorized official is Cathi Ketterling .
The authorized official title is President and has the following contact phone number (208) 324-4633.

The CLIA number assigned to this NPI record is 13D2019640 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 5/17/2016.


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
13336C0003XPharmacyCommunity/Retail Pharmacy1117CPIDAHOYes

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 Other Provider Identifier Issuer
10721340009MEDICARE NSCIDAHO
2002633700MEDICAIDIDAHO

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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