SUPER SAVE HIGHLAND PHARMACY NPI 1003802315

Pharmacy in Pocatello, ID

Organization Pharmacy

About SUPER SAVE HIGHLAND PHARMACY

Super Save Highland Pharmacy is a provider established in Pocatello, Idaho specializing in pharmacy. The NPI number of Super Save Highland Pharmacy is 1003802315 and was assigned on September 2005. The practitioner's primary taxonomy code is 333600000X with license number 1537CP (ID). The provider is registered as an organization and their NPI record was last updated 12 years ago.
The authorized official of this NPI record is Mr. Tori Daniel Shaver (Vice President)

NPI

1003802315

Provider NameSUPER SAVE HIGHLAND PHARMACY
Provider Location Address755 HOSPITAL WAY SUITE B1 POCATELLO, ID 83201
Provider Mailing Address755 HOSPITAL WAY B1 P O BOX 4869 POCATELLO, ID 83205
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date09-22-2005
Last Update Date07-09-2007

Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.1537CP
License StateID
Taxonomy DescriptionA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Business Address

SUPER SAVE HIGHLAND PHARMACY
755 HOSPITAL WAY
SUITE B1
POCATELLO, ID
ZIP 83201
Phone: (208) 237-9393
Fax: (208) 237-6017

Get Directions

Mailing Address

SUPER SAVE HIGHLAND PHARMACY
755 HOSPITAL WAY B1
P O BOX 4869
POCATELLO, ID
ZIP 83205
Phone: (208) 237-9393
Fax: (208) 237-6017

Authorized Official

Authorized Official NameMR. TORI DANIEL SHAVER
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(208) 232-9392

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124014717 JOHN H THOMAS MD
Individual
Otolaryngology755 HOSPITAL WAY SUITE B-3
POCATELLO, ID 83201
(208) 232-2146
1356336440DR. CLAINE DOYLE JUDY D.O.
Individual
Surgery755 HOSPITAL WAY STE A-5
POCATELLO, ID 83201
(208) 233-8444
1437145240SUPER SAVE HIGHLAND PHARMACY
Organization
Durable Medical Equipment & Medical Supplies755 HOSPITAL WAY SUITE B1
POCATELLO, ID 83201
(208) 237-9393
1568499226MR. DOUGLAS P NORMAN M.D.
Individual
Specialist755 HOSPITAL WAY SUITE A4
POCATELLO, ID 83201
(208) 233-8770
1821127077EDWARD A DESANO JR MD PA
Organization
Obstetrics & Gynecology755 HOSPITAL WAY B 2
POCATELLO, ID 83201
(208) 232-0581
1891780524 ALAN K MIRLY PA
Individual
Physician Assistant755 HOSPITAL WAY SUITE B-3
POCATELLO, ID 83201
(208) 232-2146

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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