Pharmacy Shop Inc
NPI 1053012708ActiveOrganization· Pharmacy· Pocatello, ID
Pharmacy in Pocatello, Idaho, registered in NPPES in March 2023, part of Pharmacy Shop Inc. The authorized official on file is Ranae Hill, Student Pharmacist.
Overview
| NPI | 1053012708 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pharmacy Shop Inc |
| NPI issued | Mar 10, 2023 |
| Last updated in NPPES | Mar 10, 2023 |
| Certified by provider | Mar 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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