CLEARWATER CANYON PHARMACY
NPI 1598229809
Pharmacy - Community/Retail Pharmacy in Orofino, ID

Active since January 31, 2019
13020 US-12, OROFINO, ID 83544(208) 476-0110(208) 476-0115 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2019, Jan 31, 2019 (2 updates tracked since 2019).

About Clearwater Canyon Pharmacy NPPES

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

CLEARWATER CANYON PHARMACY (NPI 1598229809) is a healthcare organization registered as a community/retail pharmacy in Orofino, Idaho and active in the NPI registry since January 2019. The organization lists Charles Andrew Pottenger, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1598229809
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLEARWATER CANYON PHARMACY, LLC
Location Address13020 US-12Orofino, ID 83544
Mailing Address523 Thain RdLewiston, ID 83501-5530 · (208) 743-5515 · Fax (208) 743-0333
Fax(208) 476-0115
Organization SubpartNo
Authorized OfficialCharles Andrew PottengerOwner/president · (208) 476-0110
Enumeration DateJanuary 31, 2019
Last NPPES UpdateApril 10, 20192 updates tracked since enumeration
NPI 1598229809 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.
13020 US-12, Orofino, ID 83544

Other Names 1

Doing Business AsClearwater Canyon Pharmacy

Accepted Insurance

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.
43 services43 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.
39 services39 patients

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 Clearwater Canyon Pharmacy, LLC's NPI number?

The NPI number for Clearwater Canyon Pharmacy, LLC is 1598229809. It was assigned to this organization in the NPPES registry on January 31, 2019. The provider is doing business as Clearwater Canyon Pharmacy.

Where is Clearwater Canyon Pharmacy, LLC located?

Clearwater Canyon Pharmacy, LLC is located at 13020 Us-12, Orofino, ID 83544. The listed phone number is (208) 476-0110.

What is Clearwater Canyon Pharmacy, LLC's specialty?

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

What insurance does Clearwater Canyon Pharmacy, LLC 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 46 other insurers list Clearwater Canyon Pharmacy, LLC 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 Clearwater Canyon Pharmacy, LLC was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.