PHARMERICA MOUNTAIN LLC NPI 1760494033

NPI Information

NPI: 1760494033
Provider Name: PHARMERICA MOUNTAIN LLC

Doing Business As: PHARMERICA

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2950 E MAGIC VIEW DR STE 190
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-1951
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PHARMERICA MOUNTAIN LLC 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. PHARMERICA MOUNTAIN LLC NPI is 1760494033. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmerica.

The provider's business location address is:

2950 E MAGIC VIEW DR STE 190
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-1951
Fax: (208) 895-9825

The provider's authorized official is Steven S. Reed .
The authorized official title is Vice President and has the following contact phone number (502) 394-2100.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 10/22/2020.

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
1	3336L0003X	Pharmacy	Long Term Care Pharmacy	1929LS	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	Other Provider Identifier Issuer
1	6022362	MEDICAID	WASHINGTON
2	47154LS	OTHER	IDAHO	BOARD OF PHARMACY
3	807106500	MEDICAID	IDAHO
4	276268	MEDICAID	OREGON
5	1704147	MEDICAID	ALASKA
6	RP-0002900	OTHER	OREGON	BOARD OF PHARMACY

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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