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RIDLEY'S PHARMACY #7152
NPI 1114053444
Pharmacy - Community/Retail Pharmacy in Pocatello, ID

Active since February 23, 2007CLIA 13D2019665 · Waiver
911 N MAIN ST, POCATELLO, ID 83204(208) 478-8510(208) 235-1328 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ridley's Pharmacy #7152 NPPES

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

RIDLEY'S PHARMACY #7152 (NPI 1114053444) is a healthcare organization registered as a community/retail pharmacy in Pocatello, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Cathi Ketterling, President, as its authorized official.

NPPES Registry Identity

NPI1114053444
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIDLEY'S FAMILY MARKETS, INC
Location Address911 N MAIN STPocatello, ID 83204-2831
Mailing Address621 Washington St. SouthTwin Falls, ID 83301-5519 · (208) 324-4633 · Fax (208) 324-1190
Phone(208) 478-8510
Fax(208) 235-1328
Organization SubpartNo
Authorized OfficialCathi KetterlingPresident · (208) 324-4633
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 17, 2016
✔ NPI 1114053444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ID · 1569CP
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.
911 N MAIN ST, Pocatello, ID 83204
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Other Names 1

Doing Business AsRidley's Pharmacy #7152

Other Identifiers 2

Medicaid805916500ID
Medicare NSC0721340008ID

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 13D2019665

Ridley's Pharmacy #7152 · Pocatello, ID
Active · expires Feb 2, 2027
CLIA Number13D2019665
Laboratory TypePharmacy
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorTodd R. Wise Pharmd
Laboratory Phone(208) 478-8510
Laboratory LocationRidley's Pharmacy #7152911 N Main St, Pocatello, ID 83204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA MATAMOROS
Pharmacist
911 N MAIN ST
POCATELLO, ID 83204
Power County (208) 478-8510

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 Ridley's Family Markets, Inc's NPI number?

The NPI number for Ridley's Family Markets, Inc is 1114053444. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Ridley's Pharmacy #7152.

Where is Ridley's Family Markets, Inc located?

Ridley's Family Markets, Inc is located at 911 N Main St, Pocatello, ID 83204. The listed phone number is (208) 478-8510.

What is Ridley's Family Markets, Inc's specialty?

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

Does Ridley's Family Markets, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2019665) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridley's Family Markets, 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 46 other insurers list Ridley's Family Markets, 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 Ridley's Family Markets, Inc was last updated on May 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.