Heartland Pharmacy - Idaho Falls
Long Term Care Pharmacy
3250 E 17th St, Ammon
Idaho, 83406-6758
208-552-7677 208-552-2098
Heartland Pharmacy - Idaho Falls is a Long Term Care Pharmacy in Ammon, Idaho. It is located at 3250 E 17th St, Ammon and it's customer support contact number is 208-552-7677. The authorized person of Heartland Pharmacy - Idaho Falls is Andrea Ferguson who is Authorized Official of the pharmacy and his contact number is 208-497-3575. Active license number of Heartland Pharmacy - Idaho Falls is 1624LS for Long Term Care Pharmacy in Idaho. Heartland Pharmacy - Idaho Falls accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Heartland Pharmacy - Idaho Falls is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Heartland Pharmacy - Idaho Falls type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Heartland Pharmacy - Idaho Falls |
| Type: | Long Term Care Pharmacy |
| Location: | 3250 E 17th St, Ammon,
Idaho, 83406-6758 |
| Phone: | 208-552-7677 |
| Fax: | 208-552-2098 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Andrea Ferguson |
| Position: | Authorized Official |
| Contact Number: | 208-497-3575 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1740265420 |
| NPI Enumeration Date: | 14 Dec, 2005 |
| NPI Last Update On: | 14 Dec, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heartland Pharmacy - Idaho Falls are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 1624LS | Idaho | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0212857 | Medicaid | Montana | |
| 1740265420 | Medicaid | Utah | |
| 806143700 | Medicaid | Idaho | |
| 2021757 | Other | | Pk |
Medicare Enrollment:
Heartland Pharmacy - Idaho Falls is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1951301795 | O20070102000071 | Pharmease Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 1951301795 | O20151030000391 | Pharmease Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 1951301795 | O20160128000422 | Pharmease Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Heartland Pharmacy - Idaho Falls has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Nebulizer Equipment & Supplies |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1790 Sabin Dr,
Ammon, Idaho |
| Zip: | 83406-6747 |
| Phone Number: | 208-497-3575 |
| Fax Number: | 208-552-2103 |
Patients can reach Heartland Pharmacy - Idaho Falls at
3250 E 17th St, Ammon, Idaho or can
call on customer care at 208-552-7677.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.