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WHITE CROSS PHARMACY - OLDTOWN
NPI 1841806494
Pharmacy - Community/Retail Pharmacy in Oldtown, ID

Active since September 18, 2020CLIA 13D2210873 · Waiver
86 TANK RD, OLDTOWN, ID 83822(208) 457-7160(208) 369-4553 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Nov 16, 2020, Sep 18, 2020 (3 updates tracked since 2020).

About White Cross Pharmacy - Oldtown NPPES

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

WHITE CROSS PHARMACY - OLDTOWN (NPI 1841806494) is a healthcare organization registered as a community/retail pharmacy in Oldtown, Idaho and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Richard Allan De Blaquiere, President, as its authorized official.

NPPES Registry Identity

NPI1841806494
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDEBLAQUIERE ENTERPRISES, INC.
Location Address86 TANK RDOldtown, ID 83822-5126
Mailing AddressPo Box 3525Oldtown, ID 83822-3525 · (208) 457-7160 · Fax (208) 369-4553
Phone(208) 457-7160
Fax(208) 369-4553
Organization SubpartNo
Authorized OfficialRichard Allan De BlaquierePresident · (208) 610-0752
Enumeration DateSeptember 18, 2020
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1841806494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
86 TANK RD, Oldtown, ID 83822
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Other Names 1

Doing Business AsWhite Cross Pharmacy - Oldtown

Other Identifiers 1

Medicaid1841806494ID

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 13D2210873

White Cross Pharmacy · Oldtown, ID
Active · expires Jan 24, 2027
CLIA Number13D2210873
Laboratory TypePharmacy
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorRichard A. De Blaquiere Pharmd
Laboratory Phone(208) 457-7160
Laboratory LocationWhite Cross Pharmacy86 Tank Rd, Oldtown, ID 83822
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 4

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.
51 services49 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
50 services50 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.
13 services13 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories White Cross Pharmacy - Oldtown carries, from the Medicare DMEPOS supplier directory.

White Cross Pharmacy - Oldtown

DMEPOS supplier · Oldtown, IDOperated by Deblaquiere Enterprises Inc
⋮

Does not accept Medicare assignment

White Cross Pharmacy - Oldtown has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20604911
Medicare Participant SinceJuly 16, 2002
Supplier Location86 Tank RdOldtown, ID 83822
Phone(208) 457-7160
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

MADISON PURYEAR
Pharmacist
86 TANK RD
OLDTOWN, ID 83822
Bonner County (208) 457-7160

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 Deblaquiere Enterprises, Inc.'s NPI number?

The NPI number for Deblaquiere Enterprises, Inc. is 1841806494. It was assigned to this organization in the NPPES registry on September 18, 2020. The provider is doing business as White Cross Pharmacy - Oldtown.

Where is Deblaquiere Enterprises, Inc. located?

Deblaquiere Enterprises, Inc. is located at 86 Tank Rd, Oldtown, ID 83822. The listed phone number is (208) 457-7160.

What is Deblaquiere Enterprises, Inc.'s specialty?

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

Does Deblaquiere Enterprises, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, White Cross Pharmacy - Oldtown does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Deblaquiere Enterprises, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2210873) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deblaquiere Enterprises, 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 Deblaquiere Enterprises, 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 Deblaquiere Enterprises, Inc. was last updated on December 3, 2021. 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.