HEARTLAND PHARMACY - BOISE NPI 1891771747

NPI Information

NPI: 1891771747
Provider Name: HEARTLAND PHARMACY - BOISE

Doing Business As: HEARTLAND PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
8455 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 323-0067
Get Directions

HEARTLAND PHARMACY - BOISE is a durable medical equipment medical supplies in Boise, ID. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. HEARTLAND PHARMACY - BOISE NPI is 1891771747. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heartland Pharmacy.

The provider's business location address is:

8455 W EMERALD ST
BOISE, ID
ZIP 83704-306
Phone: (208) 323-0067
Fax: (208) 323-5954

The provider's authorized official is Heather Shortsleeve .
The authorized official title is Corporate Dme Support Specialist and has the following contact phone number (208) 552-7677.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 1/4/2021.

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	183500000X	Pharmacist		1680CP	IDAHO	No
2	333600000X	Pharmacy		1680CP	IDAHO	No
3	3336L0003X	Pharmacy	Long Term Care Pharmacy	1680CP	IDAHO	No
4	332B00000X	Durable Medical Equipment & Medical Supplies		1679LS	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	500600675	MEDICAID	OREGON
2	805126600	OTHER	IDAHO	MEDICAID DME
3	805127900	MEDICAID	IDAHO

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: 4/28/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »