HEARTLAND PHARMACY - IDAHO FALLS NPI 1740265420

NPI Information

  • NPI: 1740265420
  • Provider Name: HEARTLAND PHARMACY - IDAHO FALLS
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: HEARTLAND PHARMACY
  • Address: 3250 E 17TH ST
    AMMON, ID
    ZIP 83406
  • Phone: (208) 552-7677

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NPI Details

HEARTLAND PHARMACY - IDAHO FALLS is a long term care pharmacy pharmacy in Ammon, 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, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HEARTLAND PHARMACY - IDAHO FALLS NPI is 1740265420. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Pharmacy.

The provider's business location address is:

3250 E 17TH ST
AMMON, ID
ZIP 83406-758
Phone: (208) 552-7677
Fax: (208) 552-2098

The provider's authorized official is Andrea Ferguson .
The authorized official title is Authorized Official and has the following contact phone number (208) 497-3575.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 12/14/2005 and was last updated on 12/14/2020.

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
23336L0003XPharmacyLong Term Care Pharmacy1624LSIDAHOYes

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
11740265420MEDICAIDUTAH
22021757OTHERPK
30212857MEDICAIDMONTANA
4806143700MEDICAIDIDAHO

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: 3/30/2025

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