KOHAL PHARMACY INC
NPI 1396638854
Pharmacy - Long Term Care Pharmacy in Kellogg, ID

Active since June 02, 2025CLIA 13D2203962 · Waiver
740 MCKINLEY AVE, KELLOGG, ID 83837(208) 786-9303(208) 783-4302 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kohal Pharmacy Inc NPPES

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

KOHAL PHARMACY INC (NPI 1396638854), doing business as Kohal Pharmacy, is a healthcare organization registered as a long term care pharmacy in Kellogg, Idaho and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Tony Wright, Owner, as its authorized official.

NPPES Registry Identity

NPI1396638854
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameKOHAL PHARMACY INC
Location Address740 MCKINLEY AVEKellogg, ID 83837-2693
Mailing Address740 Mckinley AveKellogg, ID 83837-2693 · (208) 786-9303 · Fax (208) 783-4302
Fax(208) 783-4302
Organization SubpartNo
Authorized OfficialTony WrightOwner · (208) 786-9303
Enumeration DateJune 2, 2025
NPPES CertifiedMay 5, 2025
NPI 1396638854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

740 MCKINLEY AVE, Kellogg, ID 83837

Other Names 1

Doing Business AsKohal 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 13D2203962

Kohal Pharmacy Inc · Kellogg, ID
Active · expires Dec 6, 2026
CLIA Number13D2203962
Laboratory TypePharmacy
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorMichael Conger Pharmd
Laboratory Phone(208) 786-9303
Laboratory LocationKohal Pharmacy Inc740 Mckinley Ave Bld B, Kellogg, ID 83837
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 20

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

Nurse Practitioner (Family)
740 MCKINLEY AVE
KELLOGG, ID 83837
Durable Medical Equipment & Medical Supplies
740 MCKINLEY AVE
KELLOGG, ID 83837
Social Worker (Clinical)
740 MCKINLEY AVE
KELLOGG, ID 83837
Family Medicine
740 MCKINLEY AVE
KELLOGG, ID 83837
Clinic/Center (Medical Specialty)
740 MCKINLEY AVE
KELLOGG, ID 83837
Orthopaedic Surgery
740 MCKINLEY AVE
KELLOGG, ID 83837
Case Manager/Care Coordinator
740 MCKINLEY AVE
KELLOGG, ID 83837
Pharmacist
740 MCKINLEY AVE
KELLOGG, ID 83837

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 1396638854. It was assigned to this organization in the NPPES registry on June 2, 2025. The provider is doing business as Kohal Pharmacy.

Where is Kohal Pharmacy Inc located?

Kohal Pharmacy Inc is located at 740 Mckinley Ave, Kellogg, ID 83837. The listed phone number is (208) 786-9303.

What is Kohal Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Kohal Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2203962) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kohal Pharmacy Inc was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.