HELLS CANYON HEALTH AND WELLNESS PHARMACY
NPI 1457739989
Pharmacy - Community/Retail Pharmacy in Lewiston, ID

Q: What is Hells Canyon Health And Wellness Pharmacy's specialty?

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

Active since May 17, 2015CLIA 13D2197844 · Waiver

523 THAIN RD, LEWISTON, ID 83501(208) 743-5515(208) 743-0333 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Sep 15, 2021, Apr 19, 2021 and 1 more (4 updates tracked since 2016).

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About Hells Canyon Health And Wellness Pharmacy NPPES

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

HELLS CANYON HEALTH AND WELLNESS PHARMACY (NPI 1457739989), doing business as Hells Canyon Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Lewiston, Idaho and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Charles Andrew Pottenger, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1457739989

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHELLS CANYON HEALTH AND WELLNESS PHARMACY

Location Address523 THAIN RDLewiston, ID 83501

Mailing Address523 Thain RdLewiston, ID 83501-5530 · (208) 743-5515 · Fax (208) 743-0333

Phone(208) 743-5515

Fax(208) 743-0333

Organization SubpartNo

Authorized OfficialCharles Andrew PottengerAuthorized Official · (208) 743-5515

Enumeration DateMay 17, 2015

Last NPPES UpdateJanuary 28, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1457739989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in ID · 38642RP

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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

523 THAIN RD, Lewiston, ID 83501

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Other Names 1

Doing Business AsHells Canyon Pharmacy

Other Identifiers 1

Medicaid1457739989ID

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 13D2197844

Hells Canyon Health And Wellness Pharmacy LLC · Lewiston, ID

Active · expires Oct 27, 2026

CLIA Number13D2197844

Laboratory TypePharmacy

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorCharles A. Pottenger Pharmd

Laboratory Phone(208) 743-5515

Laboratory LocationHells Canyon Health And Wellness Pharmacy LLC523 Thain Rd, Lewiston, ID 83501

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 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.

55 services55 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

45 services45 patients

Other Providers at the Same Location NPPES 6

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

MRS. LAURA D HEITZMAN R.PH.

Pharmacist