HELLS CANYON HEALTH AND WELLNESS PHARMACY
NPI 1619507761
Pharmacy - Long Term Care Pharmacy in Lewiston, ID

Q: What is Hells Canyon Health And Wellness Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since January 16, 2020CLIA 13D2197844 · Waiver

523 THAIN RD, LEWISTON, ID 83501(208) 743-5515 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Hells Canyon Health And Wellness Pharmacy NPPES

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

HELLS CANYON HEALTH AND WELLNESS PHARMACY (NPI 1619507761), doing business as Hells Canyon Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Lewiston, Idaho and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Charles Andrew Pottenger, Owner, as its authorized official.

NPPES Registry Identity

NPI1619507761

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameHELLS CANYON HEALTH AND WELLNESS PHARMACY

Location Address523 THAIN RDLewiston, ID 83501-5530

Mailing Address523 Thain RdLewiston, ID 83501-5530

Phone(208) 743-5515

Organization SubpartYes

Authorized OfficialCharles Andrew PottengerOwner · (208) 743-5515

Enumeration DateJanuary 16, 2020

✔ NPI 1619507761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

523 THAIN RD, Lewiston, ID 83501

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Other Names 1

Doing Business AsHells Canyon Pharmacy Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. 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 13D2197844

Hells Canyon Health And Wellness Pharmacy LLC · Lewiston, ID

Active · expires Oct 27, 2026

CLIA Number13D2197844

Laboratory TypePharmacy

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorCharles A. Pottenger Pharmd

Laboratory Phone(208) 743-5515

Laboratory LocationHells Canyon Health And Wellness Pharmacy LLC523 Thain Rd, Lewiston, ID 83501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. LAURA D HEITZMAN R.PH.

Pharmacist