INCLUSIVE CARE CLINIC PHARMACY – NPI #1235900424
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

INCLUSIVE CARE CLINIC PHARMACY is a pharmacy located in CHUBBUCK, ID. NPPES has assigned the NPI number 1235900424 to INCLUSIVE CARE CLINIC PHARMACY on January 16, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INCLUSIVE CARE CLINIC PHARMACY” is a dba name, the actual legal business name for this organization is INCLUSIVE CARE LLC. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was last updated on Jul 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INCLUSIVE CARE CLINIC PHARMACY below.

NPI Profile for
INCLUSIVE CARE LLC

NPI Number
1235900424
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INCLUSIVE CARE LLC
Doing Business As (dba): INCLUSIVE CARE CLINIC PHARMACY
Primary location
407 E CHUBBUCK RD
CHUBBUCK, ID 83202
Phone: (208) 913-2273 Fax: (208) 567-5615
Mailing address
PO BOX 2851
POCATELLO, ID 83206-2851
Phone: Fax:
Organization Subpart
No
Authorized Official
ALEXANDRA HEYNEMAN
OWNER
Phone: (208) 913-2273
Updated
Certification Date
Jul 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.