Ladd Family Pharmacy is an authorized DME supplier for medicare equipments and products.
Ladd Family Pharmacy is a Community/Retail Pharmacy in Boise, Idaho. This pharmacy is owned and operated by Ladd Family Pharmacy Llc. It is located at 1109 S Broadway Ave, Boise and it's customer support contact number is 208-947-0877. The authorized person of Ladd Family Pharmacy is Jeremy Lundevall, CPHT who is Coo of the pharmacy and his contact number is 208-947-0877. Active license number of Ladd Family Pharmacy is 38076RP for Community/Retail Pharmacy in Idaho. Ladd Family Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Ladd Family Pharmacy is 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.
Pharmacy Details:
Ladd Family Pharmacy 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:
Ladd Family Pharmacy
Type:
Community/Retail Pharmacy
Location:
1109 S Broadway Ave, Boise, Idaho, 83706-3626
Phone:
208-947-0877
Fax:
208-947-0874
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:
Jeremy Lundevall
Credentials:
CPHT
Position:
Coo
Contact Number:
208-947-0877
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:
1134391121
NPI Enumeration Date:
30 Mar, 2008
NPI Last Update On:
01 Aug, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ladd Family Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
38076RP
Idaho
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Compounding 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
2022000
Other
Pk
M8081177
Medicaid
Idaho
M8081035
Medicaid
Idaho
Medicare Enrollment:
Ladd Family Pharmacy 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
8224228564
O20111107000312
Ladd Family Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1109 S Broadway Ave, Boise, Idaho
Zip:
83706-3626
Phone Number:
208-947-0877
Fax Number:
208-947-0874
Patients can reach Ladd Family Pharmacy at 1109 S Broadway Ave, Boise, Idaho or can call on customer care at 208-947-0877.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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