MEDICINE MAN PHARMACY INC
NPI 1750493698
Pharmacy - Community/Retail Pharmacy in Coeur D Alene, ID

Active since August 31, 2006
1114 W IRONWOOD DR, COEUR D ALENE, ID 83814(208) 666-2502(208) 667-5921 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medicine Man Pharmacy Inc NPPES

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

MEDICINE MAN PHARMACY INC (NPI 1750493698) is a healthcare organization registered as a community/retail pharmacy in Coeur D Alene, Idaho and active in the NPI registry since August 2006. The organization lists Brian Jorgensen, President, as its authorized official.

NPPES Registry Identity

NPI1750493698
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDICINE MAN PHARMACY INC
Location Address1114 W IRONWOOD DRCoeur D Alene, ID 83814-2605
Mailing Address1114 W Ironwood DrCoeur D Alene, ID 83814-2605 · (208) 666-2502 · Fax (208) 667-5921
Fax(208) 667-5921
Organization SubpartNo
Authorized OfficialBrian JorgensenPresident · (208) 666-2502
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 1, 2013
NPI 1750493698 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 · 657RP
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
1114 W IRONWOOD DR, Coeur D Alene, ID 83814

Other Names 1

Doing Business AsMedicine Man Pharmacy Inc

Other Identifiers 4

Medicare NSC0204140001
Medicaid002541200ID
Other2020458Pk
Medicaid002541100ID

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
1114 W IRONWOOD DR
COEUR D ALENE, ID 83814

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 Medicine Man Pharmacy Inc's NPI number?

The NPI number for Medicine Man Pharmacy Inc is 1750493698. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Medicine Man Pharmacy Inc located?

Medicine Man Pharmacy Inc is located at 1114 W Ironwood Dr, Coeur D Alene, ID 83814. The listed phone number is (208) 666-2502.

What is Medicine Man Pharmacy Inc's specialty?

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

What insurance does Medicine Man Pharmacy Inc accept?

Health plans from Medica list Medicine Man Pharmacy 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 Medicine Man Pharmacy Inc was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.