RIDLEY'S PHARMACY #1154
NPI 1700116050
Pharmacy - Community/Retail Pharmacy in Ely, NV

Active since January 09, 2010CLIA 29D2236930 · Waiver
1689 GREAT BASIN HWY, ELY, NV 89301(775) 289-2671(775) 289-6950 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, May 17, 2016 (2 updates tracked since 2016).

About Ridley's Pharmacy #1154 NPPES

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

RIDLEY'S PHARMACY #1154 (NPI 1700116050) is a healthcare organization registered as a community/retail pharmacy in Ely, Nevada and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Cathi B. Ketterling, President, as its authorized official.

NPPES Registry Identity

NPI1700116050
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIDLEY'S FAMILY MARKETS, INC
Location Address1689 GREAT BASIN HWYEly, NV 89301-3154
Mailing Address621 Washington St. SouthTwin Falls, ID 83301-5519 · (208) 324-4633 · Fax (208) 324-1190
Fax(775) 289-6950
Organization SubpartNo
Authorized OfficialCathi B. KetterlingPresident · (208) 324-4633
Enumeration DateJanuary 9, 2010
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1700116050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NV · PH00453
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.
1689 GREAT BASIN HWY, Ely, NV 89301

Other Names 1

Doing Business AsRidley's Pharmacy #1154

Other Identifiers 2

Medicaid1700116050NV
OtherPH00453NV · Nv. State Retail Pharmacy Lisc.- # Ph00453

Accepted 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 29D2236930

Ridley's Pharmacy #1154 · Ely, NV
Active · expires Sep 20, 2027
CLIA Number29D2236930
Laboratory TypePharmacy
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorTodd Wise
Laboratory Phone(775) 289-2671
Laboratory LocationRidley's Pharmacy #11541689 Great Basin Hwy, Ely, NV 89301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
36 services36 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.
35 services35 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
15 services15 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 Ridley's Family Markets, Inc's NPI number?

The NPI number for Ridley's Family Markets, Inc is 1700116050. It was assigned to this organization in the NPPES registry on January 9, 2010. The provider is doing business as Ridley's Pharmacy #1154.

Where is Ridley's Family Markets, Inc located?

Ridley's Family Markets, Inc is located at 1689 Great Basin Hwy, Ely, NV 89301. The listed phone number is (775) 289-2671.

What is Ridley's Family Markets, Inc's specialty?

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

Does Ridley's Family Markets, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2236930) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridley's 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 48 other insurers list Ridley's 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 Ridley's Family Markets, Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.