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MEDICAL CLINIC PHARMACY INC
NPI 1962581652
Pharmacy - Community/Retail Pharmacy in Caldwell, ID

Active since November 03, 2006CLIA 13D2150047 · Waiver
315 E ELM ST, SUITE150, CALDWELL, ID 83605(208) 459-1503(208) 459-1504 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 24, 2018 and 1 more (4 updates tracked since 2017).

About Medical Clinic Pharmacy Inc NPPES

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

MEDICAL CLINIC PHARMACY INC (NPI 1962581652), doing business as Medical Clinic Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Caldwell, Idaho and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Tyler Higgins, President, as its authorized official.

NPPES Registry Identity

NPI1962581652
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDICAL CLINIC PHARMACY INC
Location Address315 E ELM ST, SUITE150Caldwell, ID 83605-4857
Mailing Address315 E Elm St, Suite150Caldwell, ID 83605-4857 · (208) 459-1503 · Fax (208) 459-1504
Phone(208) 459-1503
Fax(208) 459-1504
Organization SubpartNo
Authorized OfficialTyler HigginsPresident · (208) 459-1503
Enumeration DateNovember 3, 2006
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1962581652 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 · 2373RP
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
315 E ELM ST, Caldwell, ID 83605
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Other Names 1

Doing Business AsMedical Clinic Pharmacy

Other Identifiers 2

Medicaid1962581652ID
Other2123594Pk

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 13D2150047

Medical Clinic Pharmacy · Caldwell, ID
Active · expires Jun 14, 2028
CLIA Number13D2150047
Laboratory TypePharmacy
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorTyler Higgins Pharm D
Laboratory Phone(208) 459-1503
Laboratory LocationMedical Clinic Pharmacy315 E Elm St Ste 150, Caldwell, ID 83605
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.
52 services52 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.
49 services49 patients

Other Providers at the Same Location NPPES 14

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

SAINT ALPHONSUS REGIONAL MEDICAL CENTER
Family Medicine
315 E ELM ST, SUITE 100
CALDWELL, ID 83605
Canyon County (208) 459-7415
SHERRI L BROWN MD
Internal Medicine
315 E ELM ST
CALDWELL, ID 83605
Canyon County (208) 459-7415
JAMES C FIELD MD
Internal Medicine (Cardiovascular Disease)
315 E ELM ST, STE 350
CALDWELL, ID 83605
Canyon County (208) 454-6363
ROGER WYATT MD
Family Medicine
315 E ELM ST, STE 100
CALDWELL, ID 83605
Canyon County (208) 302-7100
BRENDA S DAVIES MD
Obstetrics & Gynecology
315 E ELM ST, SUITE 310
CALDWELL, ID 83605
Canyon County (208) 454-2035
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Clinic/Center (Rural Health)
315 E ELM ST, SUITE 100
CALDWELL, ID 83605
Canyon County (208) 459-7415
SAMUEL M SUMMERS MD
Family Medicine
315 E ELM ST, SUITE 100
CALDWELL, ID 83605
Canyon County (208) 302-7100
SAINT ALPHONSUS PHYSICIAN SERVICES INC
Family Medicine
315 E ELM ST, SUITE 100
CALDWELL, ID 83605
Canyon County (208) 459-7415

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 Medical Clinic Pharmacy Inc's NPI number?

The NPI number for Medical Clinic Pharmacy Inc is 1962581652. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Medical Clinic Pharmacy.

Where is Medical Clinic Pharmacy Inc located?

Medical Clinic Pharmacy Inc is located at 315 E Elm St Suite150, Caldwell, ID 83605. The listed phone number is (208) 459-1503.

What is Medical Clinic Pharmacy Inc's specialty?

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

Does Medical Clinic Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2150047) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Clinic 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 47 other insurers list Medical Clinic 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 Medical Clinic Pharmacy Inc was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.