Ladd Family Pharmacy Llc
Community/Retail Pharmacy
1109 S Broadway Ave, Boise
Idaho, 83706-3626
208-947-0877 208-947-0874
Ladd Family Pharmacy Llc is a Community/Retail Pharmacy in Boise, Idaho. 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 Llc 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 Llc is 38076RP for Community/Retail Pharmacy in Idaho. Ladd Family Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Ladd Family Pharmacy Llc 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 Llc 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 Llc |
| 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 Llc 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 Llc 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 Llc at
1109 S Broadway Ave, Boise, Idaho or can
call on customer care at 208-947-0877.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.