IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY – NPI #1730351081
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.

IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY is a pharmacy located in POCATELLO, ID. NPPES has assigned the NPI number 1730351081 to IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY on March 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY” is a dba name, the actual legal business name for this organization is IDAHO STATE UNIVERSITY. 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 previously updated about 14 years ago on Feb 03, 2012. 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 IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY below.

NPI Profile for
IDAHO STATE UNIVERSITY

NPI Number
1730351081
Enumeration Date

(more than 18 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
IDAHO STATE UNIVERSITY
Doing Business As (dba): IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY
Primary location
990 SOUTH 8TH
POCATELLO, ID 83209
Phone: (208) 282-3407 Fax:
Mailing address
921 S 8TH AVE STOP 8311
POCATELLO, ID 83209-0002
Phone: (208) 282-3407 Fax:
Organization Subpart
No
Authorized Official
GINA DAVIS
PHARMACY MANAGER
Phone: (208) 282-3407
Updated
Identifiers

Identifiers for IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP PROVIDER IDENTIFICATION NUMBER1307974
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)
ID 349CP

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.