MEDICAP PHARMACY #8427
NPI 1457874612
Pharmacy - Community/Retail Pharmacy in Garden Valley, ID

Active since July 19, 2017CLIA 13D2187712 · Waiver
284 VILLAGE CIR STE 100, GARDEN VALLEY, ID 83622(208) 901-8006(208) 901-8007 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2025, Dec 22, 2020, Mar 16, 2020 and 2 more (5 updates tracked since 2017).

About Medicap Pharmacy #8427 NPPES

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

MEDICAP PHARMACY #8427 (NPI 1457874612) is a healthcare organization registered as a community/retail pharmacy in Garden Valley, Idaho and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Devin Trone, President/pharmd, as its authorized official.

NPPES Registry Identity

NPI1457874612
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDJ GARDEN VALLEY PHARMACY INC
Location Address284 VILLAGE CIR STE 100Garden Valley, ID 83622-8038
Mailing Address2790 W Cherry Ln Ste 100Meridian, ID 83642-1102 · (208) 901-8006 · Fax (208) 901-8007
Fax(208) 901-8007
Organization SubpartNo
Authorized OfficialDevin TronePresident/pharmd · (208) 901-8006
Enumeration DateJuly 19, 2017
Last NPPES UpdateJanuary 8, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1457874612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
284 VILLAGE CIR STE 100, Garden Valley, ID 83622

Other Names 1

Doing Business AsMedicap Pharmacy #8427

Accepted 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 13D2187712

Medicap Pharmacy #8427 · Garden Valley, ID
Active · expires Jul 6, 2028
CLIA Number13D2187712
Laboratory TypePharmacy
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDevin R. Trone Pharmd
Laboratory Phone(208) 901-8006
Laboratory LocationMedicap Pharmacy #8427284 Village Circle Ste #100, Garden Valley, ID 83622
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

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.
22 services22 patients
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.
22 services22 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
15 services15 patients

Other Providers at the Same Location NPPES

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

Pharmacy (Long Term Care Pharmacy)
284 VILLAGE CIR STE 100
GARDEN VALLEY, ID 83622

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 Dj Garden Valley Pharmacy Inc's NPI number?

The NPI number for Dj Garden Valley Pharmacy Inc is 1457874612. It was assigned to this organization in the NPPES registry on July 19, 2017. The provider is doing business as Medicap Pharmacy #8427.

Where is Dj Garden Valley Pharmacy Inc located?

Dj Garden Valley Pharmacy Inc is located at 284 Village Cir Ste 100, Garden Valley, ID 83622. The listed phone number is (208) 901-8006.

What is Dj Garden Valley Pharmacy Inc's specialty?

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

Does Dj Garden Valley Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2187712) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dj Garden Valley Pharmacy 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 48 other insurers list Dj Garden Valley Pharmacy 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 Dj Garden Valley Pharmacy Inc was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.