Provider Type Icon

DJ GARDEN VALLEY PHARMACY NPI 1457874612


NPI Information

NPI: 1457874612
Provider Name: DJ GARDEN VALLEY PHARMACY

Doing Business As: MEDICAP PHARMACY #8427

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 13D2187712

Address:
284 VILLAGE CIR STE 100
GARDEN VALLEY, ID
ZIP 83622
Phone: (208) 901-8006
Get Directions

DJ GARDEN VALLEY PHARMACY is a community/retail pharmacy pharmacy in Garden Valley, 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. DJ GARDEN VALLEY PHARMACY NPI is 1457874612. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicap Pharmacy #8427.

The provider's business location address is:

284 VILLAGE CIR STE 100
GARDEN VALLEY, ID
ZIP 83622-038
Phone: (208) 901-8006
Fax: (208) 901-8007

The provider's authorized official is Devin Trone .
The authorized official title is President/pharmd and has the following contact phone number (208) 901-8006.

The CLIA number assigned to this NPI record is 13D2187712 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 12/22/2020.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes
33336S0011XPharmacySpecialty PharmacyNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.