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NORTHWEST PHARMACY
NPI 1144356494
Pharmacy - Community/Retail Pharmacy in Potlatch, ID

Active since February 23, 2007CLIA 13D1088430 · Waiver
210 6TH ST, POTLATCH, ID 83855(208) 875-1212(208) 875-0859 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Feb 16, 2023, Sep 15, 2022 and 4 more (7 updates tracked since 2016).

About Northwest Pharmacy NPPES

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

NORTHWEST PHARMACY (NPI 1144356494) is a healthcare organization registered as a community/retail pharmacy in Potlatch, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Wil O Edwards, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1144356494
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNORTHWEST PHARMACY SERVICES INC
Location Address210 6TH STPotlatch, ID 83855-9700
Mailing AddressPo Box 657Potlatch, ID 83855-0657 · (208) 875-1212 · Fax (208) 875-0859
Phone(208) 875-1212
Fax(208) 875-0859
Organization SubpartYes
Authorized OfficialWil O EdwardsPharmacist · (208) 875-1212
Enumeration DateFebruary 23, 2007
Last NPPES UpdateApril 26, 20247 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1144356494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedPharmacyTaxonomy 333600000X · License 814CP (ID)
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
210 6TH ST, Potlatch, ID 83855
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthwest Pharmacy

Other Identifiers 1

Medicaid805885600ID

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 13D1088430

Northwest Pharmacy · Potlatch, ID
Active · expires Aug 25, 2026
CLIA Number13D1088430
Laboratory TypePharmacy
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorWilliam O. Edwards
Laboratory Phone(208) 875-1212
Laboratory LocationNorthwest Pharmacy210 6th St, Potlatch, ID 83855
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 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.
173 services170 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.
150 services149 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.
30 services21 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.
13 services13 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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Northwest Pharmacy carries, from the Medicare DMEPOS supplier directory.

Northwest Pharmacy

DMEPOS supplier · Potlatch, IDOperated by Northwest Pharmacy Services, Inc.
✔

Accepts Medicare assignment

Northwest Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20528747
Medicare Participant SinceJuly 11, 2011
Supplier Location535 Pine St Ste 9Potlatch, ID 83855
Phone(208) 875-1212
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

NORTHWEST PHARMACY SERVICES, INC.
Home Infusion
210 6TH ST
POTLATCH, ID 83855
Latah County (208) 875-1212

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 Northwest Pharmacy Services Inc's NPI number?

The NPI number for Northwest Pharmacy Services Inc is 1144356494. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Northwest Pharmacy.

Where is Northwest Pharmacy Services Inc located?

Northwest Pharmacy Services Inc is located at 210 6th St, Potlatch, ID 83855. The listed phone number is (208) 875-1212.

What is Northwest Pharmacy Services Inc's specialty?

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

Does Northwest Pharmacy Services Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Northwest Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Northwest Pharmacy Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1088430) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Pharmacy Services 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 Northwest Pharmacy Services 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 Northwest Pharmacy Services Inc was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.