DICK'S PHARMACY – NPI #1295832574
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

DICK'S PHARMACY is a pharmacy located in TWIN FALLS, ID. NPPES has assigned the NPI number 1295832574 to DICK'S PHARMACY on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DICK'S PHARMACY” is a dba name, the actual legal business name for this organization is K2RED L.L.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 18 years ago on Apr 25, 2008. 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 DICK'S PHARMACY below.

NPI Profile for
K2RED L.L.C.

NPI Number
1295832574
Enumeration Date

(more than 19 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
K2RED L.L.C.
Doing Business As (dba): DICK'S PHARMACY
Primary location
526 SHOUP AVE W STE K
TWIN FALLS, ID 83301-5050
Phone: (208) 734-7373 Fax: (208) 734-7389
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL FUCHS
MEMBER
Phone: (208) 734-7373
Updated
Identifiers

Identifiers for DICK'S 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
MEDICAIDID805182800
MEDICAIDID805156900
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
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
ID 1307CP
3336S0011X
- Pharmacy / Specialty Pharmacy
ID 1307CP
332B00000X
- Durable Medical Equipment & Medical Supplies
ID 1307CP

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.