Organization · Type 2 NPI

Prescription Pad LLC

Community/Retail Pharmacy · Fruitland, ID

NPI number 1891102653 Active

Practice location

1620 N Whitley Dr
Fruitland, ID 83619-2129

Fax (208) 452-7446

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	0002947 (OR)
Community/Retail Pharmacy Primary	3336C0003X	36033RP (ID)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: 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 …

7 other providers at this address

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Ontario Pharmacy IncCommunity/Retail Pharmacy Fruitland, ID NPI 1760564553

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NPI record

NPI: 1891102653
Entity type: Organization (Type 2)
Issued: Jul 14, 2014
Last updated: Apr 12, 2023
Status: Active

Other names

<unavail>
The Prescription Pad · doing business as
The Prescription Pad · doing business as

Authorized official

Trenton John Jenks, PharmD, BCGP
Owner
(208) 452-7075

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891102653

Prescription Pad LLC's National Provider Identifier is 1891102653, issued on Jul 14, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fruitland, ID. The record was last updated on Apr 12, 2023.