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THE PRESCRIPTION PAD
NPI 1891102653
Pharmacy - Community/Retail Pharmacy in Fruitland, ID

Active since July 14, 2014CLIA 13D2182494 · Waiver
1620 N WHITLEY DR, FRUITLAND, ID 83619(208) 452-7075(208) 452-7446 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Mar 17, 2020, Jan 24, 2020 and 1 more (4 updates tracked since 2017).

About The Prescription Pad NPPES

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

THE PRESCRIPTION PAD (NPI 1891102653) is a healthcare organization registered as a community/retail pharmacy in Fruitland, Idaho and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Trenton John Jenks, Owner, as its authorized official.

NPPES Registry Identity

NPI1891102653
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRESCRIPTION PAD LLC
Location Address1620 N WHITLEY DRFruitland, ID 83619-2129
Mailing Address1620 N Whitley DrFruitland, ID 83619-2129 · (208) 452-7075 · Fax (208) 452-7446
Phone(208) 452-7075
Fax(208) 452-7446
Organization SubpartNo
Authorized OfficialTrenton John JenksOwner · (208) 452-7075
Enumeration DateJuly 14, 2014
Last NPPES UpdateApril 12, 20234 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1891102653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ID · 36033RP
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 · License 0002947 (OR)
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1620 N WHITLEY DR, Fruitland, ID 83619
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Other Names 1

Doing Business AsThe Prescription Pad

Other Identifiers 2

Other2147081Pk
Medicaid1891102653ID

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 13D2182494

The Prescription Pad · Fruitland, ID
Active · expires Apr 21, 2028
CLIA Number13D2182494
Laboratory TypePharmacy
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorJudd Knudsen Rph
Laboratory Phone(208) 452-7075
Laboratory LocationThe Prescription Pad1620 N Whitley Dr, Fruitland, ID 83619
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 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.

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.
91 services91 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.
87 services87 patients

Other Providers at the Same Location NPPES 7

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

JUDD ALAN KNUDSEN RPH
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
JANETTE KAMESHIGE RPH
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
ALEXANDRIA MONIQUE LANDAVERDE PHARM D.
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
MRS. ERIN DORAINE JACKSON PHARMD, CDM
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
KYLE DARON PHARMD
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
ELEVATE VENTURES, LLC
In Home Supportive Care
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7225
TRENTON JOHN JENKS PHARM. D, CGP
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075

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 Prescription Pad LLC's NPI number?

The NPI number for Prescription Pad LLC is 1891102653. It was assigned to this organization in the NPPES registry on July 14, 2014. The provider is doing business as The Prescription Pad.

Where is Prescription Pad LLC located?

Prescription Pad LLC is located at 1620 N Whitley Dr, Fruitland, ID 83619. The listed phone number is (208) 452-7075.

What is Prescription Pad LLC's specialty?

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

Does Prescription Pad LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2182494) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prescription Pad LLC 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 49 other insurers list Prescription Pad LLC 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 Prescription Pad LLC was last updated on April 12, 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.