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PRESCRIPTION CENTER, LLC
NPI 1124021456
Pharmacy - Community/Retail Pharmacy in Idaho Falls, ID

Active since May 31, 2005CLIA 13D0946066 · Waiver
2252 CORONADO ST, IDAHO FALLS, ID 83404(208) 523-3360(208) 523-3387 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2021, Dec 4, 2020, Mar 6, 2019 (3 updates tracked since 2019).

About Prescription Center, Llc NPPES

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

PRESCRIPTION CENTER, LLC (NPI 1124021456) is a healthcare organization registered as a community/retail pharmacy in Idaho Falls, Idaho and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Ned Hillyard, Cco, as its authorized official.

NPPES Registry Identity

NPI1124021456
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRESCRIPTION CENTER, LLC
Location Address2252 CORONADO STIdaho Falls, ID 83404-7552
Mailing Address2252 Coronado StIdaho Falls, ID 83404-7552 · (208) 523-3360 · Fax (208) 523-3387
Phone(208) 523-3360
Fax(208) 523-3387
Organization SubpartNo
Authorized OfficialNed HillyardCco · (208) 709-4571
Enumeration DateMay 31, 2005
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1124021456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
2252 CORONADO ST, Idaho Falls, ID 83404
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Other Identifiers 2

Medicaid002296800ID
Medicaid002296700ID

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 13D0946066

Prescription Center · Idaho Falls, ID
Active · expires May 17, 2028
CLIA Number13D0946066
Laboratory TypePharmacy
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorJacob Cooley
Laboratory Phone(208) 523-3360
Laboratory LocationPrescription Center2252 Coronado St, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
13 services13 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.
11 services11 patients

Other Providers at the Same Location NPPES 4

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

DR. ROBERT ALLEN MYERS PH.D., R.PH.
Pharmacist
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360
RENA CAMPBELL PHARMD
Pharmacist
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360
BURGUNDIE BULLOCK PHARMD
Pharmacist
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360
PRESCRIPTION CENTER, LLC
Pharmacy (Specialty Pharmacy)
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360

Frequently Asked Questions

What is PRESCRIPTION CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1124021456, enumerated as an "organization" on May 31, 2005.

Where is the provider located?

The provider is located at 2252 CORONADO ST IDAHO FALLS, ID 83404 and the phone number is (208) 523-3360.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does PRESCRIPTION CENTER, LLC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.