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MOUNTAIN PHARMACY
NPI 1508365958
Pharmacy - Community/Retail Pharmacy in Meridian, ID

Active since February 12, 2018
2667 E. GALA COURT SUITE 125, MERIDIAN, ID 83642(208) 855-0701(208) 268-6301 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2020, Jan 24, 2020, Oct 17, 2019 and 4 more (7 updates tracked since 2018).

About Mountain Pharmacy NPPES

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

MOUNTAIN PHARMACY (NPI 1508365958) is a healthcare organization registered as a community/retail pharmacy in Meridian, Idaho and active in the NPI registry since February 2018. The organization lists Phillip Roman Burk, Owner, as its authorized official.

NPPES Registry Identity

NPI1508365958
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameP. ROMAN BURK DPM PC
Location Address2667 E. GALA COURT SUITE 125Meridian, ID 83642
Mailing Address2667 E. Gala Court Suite 125Meridian, ID 83642 · (208) 855-0701 · Fax (208) 459-8628
Phone(208) 855-0701
Fax(208) 268-6301
Organization SubpartNo
Authorized OfficialPhillip Roman BurkOwner · (208) 855-0701
Enumeration DateFebruary 12, 2018
Last NPPES UpdateOctober 7, 20207 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1508365958 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 · 47034RP
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
2667 E. GALA COURT SUITE 125, Meridian, ID 83642
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Other Names 1

Doing Business AsMountain Pharmacy

Other Identifiers 2

Other2175811Pk
Medicaid1508365958ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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 P. Roman Burk Dpm PC's NPI number?

The NPI number for P. Roman Burk Dpm PC is 1508365958. It was assigned to this organization in the NPPES registry on February 12, 2018. The provider is doing business as Mountain Pharmacy.

Where is P. Roman Burk Dpm PC located?

P. Roman Burk Dpm PC is located at 2667 E. Gala Court Suite 125, Meridian, ID 83642. The listed phone number is (208) 855-0701.

What is P. Roman Burk Dpm PC's specialty?

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

What insurance does P. Roman Burk Dpm PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 18 other insurers list P. Roman Burk Dpm PC 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 P. Roman Burk Dpm PC was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.