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GLENNS FERRY PHARMACY
NPI 1205348356
Pharmacy - Community/Retail Pharmacy in Glenns Ferry, ID

Active since October 30, 2017CLIA 13D2127424 · Waiver
30 IDAHO AVE, GLENNS FERRY, ID 83623(208) 536-5761 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 16, 2018, Oct 30, 2017 (2 updates tracked since 2017).

About Glenns Ferry Pharmacy NPPES

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

GLENNS FERRY PHARMACY (NPI 1205348356) is a healthcare organization registered as a community/retail pharmacy in Glenns Ferry, Idaho and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Thomas Gill Wadsworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1205348356
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTNT APOTHECARY LLC
Location Address30 IDAHO AVEGlenns Ferry, ID 83623
Mailing AddressPo Box 487Wendell, ID 83355-0487 · (208) 536-5761 · Fax (208) 536-5852
Phone(208) 536-5761
Organization SubpartYesParent: Tnt Apothecary, Llc
Authorized OfficialThomas Gill WadsworthOwner · (907) 786-6211
Enumeration DateOctober 30, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1205348356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
30 IDAHO AVE, Glenns Ferry, ID 83623
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Other Names 1

Doing Business AsGlenns Ferry Pharmacy

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 13D2127424

Tnt Apothecary Dba Wendell Pharmacy · Wendell, ID
Active · expires Mar 13, 2027
CLIA Number13D2127424
Laboratory TypePharmacy
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorTony Rost
Laboratory Phone(208) 536-5761
Laboratory LocationTnt Apothecary Dba Wendell Pharmacy280 S Idaho Street, Wendell, ID 83355
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tnt Apothecary LLC's NPI number?

The NPI number for Tnt Apothecary LLC is 1205348356. It was assigned to this organization in the NPPES registry on October 30, 2017. The provider is doing business as Glenns Ferry Pharmacy.

Where is Tnt Apothecary LLC located?

Tnt Apothecary LLC is located at 30 Idaho Ave, Glenns Ferry, ID 83623. The listed phone number is (208) 536-5761.

What is Tnt Apothecary LLC's specialty?

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

Does Tnt Apothecary LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2127424) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tnt Apothecary LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.