MEDICINE MAN BONNERS FERRY PHARMACY
NPI 1578826178
Pharmacy - Community/Retail Pharmacy in Bonners Ferry, ID

Q: What is Medicine Man Bonners Ferry Pharmacy LLC's specialty?

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

Active since June 19, 2012CLIA 13D2100794 · Waiver

6452 MAIN ST, BONNERS FERRY, ID 83805(208) 267-4021(208) 267-4024 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medicine Man Bonners Ferry Pharmacy NPPES

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

MEDICINE MAN BONNERS FERRY PHARMACY (NPI 1578826178) is a healthcare organization registered as a community/retail pharmacy in Bonners Ferry, Idaho and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Aimee Stuermer, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1578826178

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMEDICINE MAN BONNERS FERRY PHARMACY LLC

Location Address6452 MAIN STBonners Ferry, ID 83805-8520

Mailing Address6452 Main StBonners Ferry, ID 83805-8520 · (208) 267-4021 · Fax (208) 267-4024

Phone(208) 267-4021

Fax(208) 267-4024

Organization SubpartNo

Authorized OfficialAimee StuermerCo-owner · (208) 627-8861

Enumeration DateJune 19, 2012

Last NPPES UpdateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1578826178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in ID · 37603RP

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

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

6452 MAIN ST, Bonners Ferry, ID 83805

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Other Names 1

Doing Business AsMedicine Man Bonners Ferry Pharmacy

Other Identifiers 3

Medicaid1578826178MT

Medicaid1578826178ID

Other2150407Pk

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 13D2100794

Medicine Man Bonners Ferry Pharmacy · Bonners Ferry, ID

Active · expires Aug 20, 2027

CLIA Number13D2100794

Laboratory TypePharmacy

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorAimee L. Stuermer

Laboratory Phone(208) 647-4021

Laboratory LocationMedicine Man Bonners Ferry Pharmacy6452 Main Street, Bonners Ferry, ID 83805

CLIA data matches this NPI record on: Address Name

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.

121 services121 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

112 services112 patients

Medical Equipment Supplier Medicare DMEPOS 22

Medicare supplier enrollment and the product categories Medicine Man Bonners Ferry Pharmacy carries, from the Medicare DMEPOS supplier directory.

Medicine Man Bonners Ferry Pharmacy

DMEPOS supplier · Bonners Ferry, IDOperated by Medicine Man Bonners Ferry Pharmacy, LLC

✔

Accepts Medicare assignment

Medicine Man Bonners Ferry Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20485085

Medicare Participant SinceJanuary 31, 2015

Supplier Location6452 Main StBonners Ferry, ID 83805

Phone(208) 267-4021

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

MARIE JONES PHARMD

Pharmacist