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RIDLEYS PHARMACY #7153
NPI 1679609077
Pharmacy - Community/Retail Pharmacy in Blackfoot, ID

Active since February 27, 2007CLIA 13D2019638 · Waiver
1295 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-1311(208) 785-7071 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2018, May 1, 2018, May 17, 2016 (3 updates tracked since 2016).

About Ridleys Pharmacy #7153 NPPES

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

RIDLEYS PHARMACY #7153 (NPI 1679609077) is a healthcare organization registered as a community/retail pharmacy in Blackfoot, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Todd Wise, Owner, as its authorized official.

NPPES Registry Identity

NPI1679609077
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIDLEYS FAMILY MARKETS INC
Location Address1295 PARKWAY DRBlackfoot, ID 83221-1683
Mailing Address621 Washington St STwin Falls, ID 83301-5519 · (208) 324-4633 · Fax (208) 324-1190
Phone(208) 785-1311
Fax(208) 785-7071
Organization SubpartNo
Authorized OfficialTodd WiseOwner · (801) 358-3365
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 19, 20183 updates tracked since enumeration
✔ NPI 1679609077 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 · 1809RP
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
1295 PARKWAY DR, Blackfoot, ID 83221
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Other Names 1

Doing Business AsRidleys Pharmacy #7153

Other Identifiers 3

Medicaid806730700ID
Medicaid805772400ID
Other2021879Pk

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 13D2019638

Ridley's Pharmacy #7153 · Blackfoot, ID
Active · expires Feb 2, 2027
CLIA Number13D2019638
Laboratory TypePharmacy
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorTodd R. Wise Pharmd
Laboratory Phone(208) 785-1311
Laboratory LocationRidley's Pharmacy #71531295 Parkway Blvd, Blackfoot, ID 83221
CLIA data matches this NPI record on: Phone
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.

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.
21 services21 patients
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.
21 services21 patients

Other Providers at the Same Location NPPES 4

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

DR. PAUL FRANCIS TOMECHKO PHARMACIST
Pharmacist
1295 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-1311
JOHN RICH HOGE RPH
Pharmacist
1295 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-3106
SCOTT C. JOHNSON PHARMD,
Pharmacist
1295 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-1311
DR. MATTHEW SHAWN PHILLIPS PHARMD
Pharmacist
1295 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-1311

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 Ridleys Family Markets Inc's NPI number?

The NPI number for Ridleys Family Markets Inc is 1679609077. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Ridleys Pharmacy #7153.

Where is Ridleys Family Markets Inc located?

Ridleys Family Markets Inc is located at 1295 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 785-1311.

What is Ridleys Family Markets Inc's specialty?

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

Does Ridleys Family Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2019638) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridleys Family Markets 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 46 other insurers list Ridleys Family Markets 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 Ridleys Family Markets Inc was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.