LATAH COMMUNITY HEALTH PHARMACY – NPI #1750786356
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.
LATAH COMMUNITY HEALTH PHARMACY is a pharmacy located in MOSCOW, ID. NPPES has assigned the NPI number 1750786356 to LATAH COMMUNITY HEALTH PHARMACY on October 27, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Jan 05, 2026. 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 LATAH COMMUNITY HEALTH PHARMACY below.
NPI Profile for
LATAH COMMUNITY HEALTH PHARMACY
(more than 11 years ago)
MOSCOW, ID 83843-3043 Phone: (208) 848-8312 Fax: (208) 882-5606
SPOKANE, WA 99202-4926 Phone: (509) 444-8888 Fax:
CEO
Phone: (509) 444-8888
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.
Identifiers for LATAH COMMUNITY HEALTH 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | PK | 2148393 | |
| medicaid | ID | 1750786356 | |
| medicaid | WA | 2073987 |
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 | 37042RP |
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
||
| 333600000X - Pharmacy |
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.