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MEDICINE MAN HAYDEN PHARMACY
NPI 1821159997
Pharmacy - Community/Retail Pharmacy in Hayden, ID

Active since December 13, 2006
240 W HAYDEN AVE, HAYDEN, ID 83835(208) 772-3311(208) 772-1779 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2018, May 15, 2018, Feb 28, 2017 and 1 more (4 updates tracked since 2016).

About Medicine Man Hayden Pharmacy NPPES

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

MEDICINE MAN HAYDEN PHARMACY (NPI 1821159997) is a healthcare organization registered as a community/retail pharmacy in Hayden, Idaho and active in the NPI registry since December 2006. The organization lists Korey E Kreider, Coo, as its authorized official.

NPPES Registry Identity

NPI1821159997
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDICINE MAN NORTH PHARMACY INC
Location Address240 W HAYDEN AVEHayden, ID 83835-8194
Mailing AddressPo Box 1706Hayden, ID 83835-1706 · (208) 772-3311 · Fax (208) 772-1779
Phone(208) 772-3311
Fax(208) 772-1779
Organization SubpartNo
Authorized OfficialKorey E KreiderCoo · (208) 660-3938
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 3, 20224 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1821159997 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 · 864RP
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
240 W HAYDEN AVE, Hayden, ID 83835
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Other Names 1

Doing Business AsMedicine Man Hayden Pharmacy

Other Identifiers 2

Medicaid1821159997ID
Other2020947Pk

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 ›

Other Providers at the Same Location NPPES

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

MR. BRIAN S STEWART PHARMD
Pharmacist
240 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 772-3311

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 North Pharmacy Inc's NPI number?

The NPI number for Medicine Man North Pharmacy Inc is 1821159997. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Medicine Man Hayden Pharmacy.

Where is Medicine Man North Pharmacy Inc located?

Medicine Man North Pharmacy Inc is located at 240 W Hayden Ave, Hayden, ID 83835. The listed phone number is (208) 772-3311.

What is Medicine Man North 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 North Pharmacy 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 Medicine Man North 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 North Pharmacy Inc was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.