KOHAL PHARMACY INC
NPI 1053453910
Pharmacy - Community/Retail Pharmacy in Pinehurst, ID

Q: What is Kohal Pharmacy Inc's NPI number?

The NPI number for Kohal Pharmacy Inc is 1053453910. It was assigned to this organization in the NPPES registry on February 13, 2007.

Q: What is Kohal Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since February 13, 2007CLIA 13D2203970 · Waiver

504 N DIVISION AVE, PINEHURST, ID 83850(208) 682-3920(208) 682-3939 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2022, Feb 17, 2020 (2 updates tracked since 2020).

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About Kohal Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOHAL PHARMACY INC (NPI 1053453910) is a healthcare organization registered as a community/retail pharmacy in Pinehurst, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Tony Wright, Owner, as its authorized official.

NPPES Registry Identity

NPI1053453910

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKOHAL PHARMACY INC

Location Address504 N DIVISION AVEPinehurst, ID 83850

Mailing AddressPo Box 400Pinehurst, ID 83850-0400 · (208) 682-4015 · Fax (208) 682-3939

Phone(208) 682-3920

Fax(208) 682-3939

Organization SubpartNo

Authorized OfficialTony WrightOwner · (208) 682-4015

Enumeration DateFebruary 13, 2007

Last NPPES UpdateNovember 26, 20242 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1053453910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

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.

Also ListedPharmacyTaxonomy 333600000X · License 857CP (ID)

504 N DIVISION AVE, Pinehurst, ID 83850

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Other Names 1

Former Legal Business NameKohal Pharmacy Inc

Other Identifiers 1

Medicaid0025278ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2203970

Kohal Pharmacy Inc · Pinehurst, ID

Active · expires Dec 6, 2026

CLIA Number13D2203970

Laboratory TypePharmacy

Certificate Effective DateDecember 7, 2024

Certificate Expiration DateDecember 6, 2026

Laboratory DirectorMichael Conger Pharmd

Laboratory Phone(208) 682-4015

Laboratory LocationKohal Pharmacy Inc504 N Division St, Pinehurst, ID 83850

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

149 services149 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

135 services135 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

37 services37 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kohal Pharmacy Inc's NPI number?

The NPI number for Kohal Pharmacy Inc is 1053453910. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Kohal Pharmacy Inc located?

Kohal Pharmacy Inc is located at 504 N Division Ave, Pinehurst, ID 83850. The listed phone number is (208) 682-3920.

What is Kohal Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kohal Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2203970) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kohal Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Kohal Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kohal Pharmacy Inc was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.