WHITE CROSS PHARMACY - SPIRIT LAKE
NPI 1477973832
Pharmacy - Community/Retail Pharmacy in Spirit Lake, ID

Active since April 23, 2014CLIA 13D2080861 · Waiver
31964 N 5TH AVE, SPIRIT LAKE, ID 83869(208) 623-8485(208) 623-3400 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2020, Dec 4, 2019 (2 updates tracked since 2019).

About White Cross Pharmacy - Spirit Lake NPPES

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

WHITE CROSS PHARMACY - SPIRIT LAKE (NPI 1477973832) is a healthcare organization registered as a community/retail pharmacy in Spirit Lake, Idaho and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists Richard Allan De Blaquiere, President, as its authorized official.

NPPES Registry Identity

NPI1477973832
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDEBLAQUIERE ENTERPRISES INC
Location Address31964 N 5TH AVESpirit Lake, ID 83869
Mailing AddressPo Box 510Spirit Lake, ID 83869-0510
Fax(208) 623-3400
Organization SubpartNo
Authorized OfficialRichard Allan De BlaquierePresident · (208) 610-0752
Enumeration DateApril 23, 2014
Last NPPES UpdateApril 17, 20232 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
NPI 1477973832 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.
31964 N 5TH AVE, Spirit Lake, ID 83869

Other Names 1

Doing Business AsWhite Cross Pharmacy - Spirit Lake

Other Identifiers 1

Medicaid1477973832ID

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 13D2080861

White Cross Pharmacy · Spirit Lake, ID
Active · expires Jul 15, 2028
CLIA Number13D2080861
Laboratory TypePharmacy
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorRichard Deblaquiere
Laboratory Phone(208) 623-8485
Laboratory LocationWhite Cross Pharmacy31964 N Fifth Ave, Spirit Lake, ID 83869
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.

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.
48 services48 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.
42 services42 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.
41 services41 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.

Pharmacist
31964 N 5TH AVE
SPIRIT LAKE, ID 83869

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 Deblaquiere Enterprises Inc's NPI number?

The NPI number for Deblaquiere Enterprises Inc is 1477973832. It was assigned to this organization in the NPPES registry on April 23, 2014. The provider is doing business as White Cross Pharmacy - Spirit Lake.

Where is Deblaquiere Enterprises Inc located?

Deblaquiere Enterprises Inc is located at 31964 N 5th Ave, Spirit Lake, ID 83869. The listed phone number is (208) 623-8485.

What is Deblaquiere Enterprises Inc's specialty?

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

Does Deblaquiere Enterprises Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2080861) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deblaquiere Enterprises 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 49 other insurers list Deblaquiere Enterprises 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 Deblaquiere Enterprises Inc was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.