Red Rock Pharmacy Incorporated
Durable Medical Equipment & Medical Supplies
133 W Avenue A, Jerome
Idaho, 83338-2601
208-324-3528 208-324-4599
Red Rock Pharmacy Incorporated is a Durable Medical Equipment & Medical Supplies in Jerome, Idaho. It is located at 133 W Avenue A, Jerome and it's customer support contact number is 208-324-3528. The authorized person of Red Rock Pharmacy Incorporated is Mr. Edward Snell, RPH who is Owner of the pharmacy and his contact number is 208-324-3528. Active license number of Red Rock Pharmacy Incorporated is 1804CP for Durable Medical Equipment & Medical Supplies in Idaho. Red Rock Pharmacy Incorporated accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Red Rock Pharmacy Incorporated is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
Red Rock Pharmacy Incorporated 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: | Red Rock Pharmacy Incorporated |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 133 W Avenue A, Jerome,
Idaho, 83338-2601 |
| Phone: | 208-324-3528 |
| Fax: | 208-324-4599 |
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: | Mr. Edward Snell |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 208-324-3528 |
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: | 1902832314 |
| NPI Enumeration Date: | 25 Jun, 2006 |
| NPI Last Update On: | 29 Sep, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Red Rock Pharmacy Incorporated are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 1804CP | Idaho | Primary | |
| Community/Retail Pharmacy | 1804CP | Idaho | Secondary | |
| Home Infusion Therapy Pharmacy | 1804CP | Idaho | 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 |
| 806707900 | Medicaid | Idaho | |
| 806707800 | Medicaid | Idaho | |
Medicare Enrollment:
Red Rock Pharmacy Incorporated 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 |
| 6103838537 | O20101115000295 | Red Rock Pharmacy Incorporated | 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: | 133 W Avenue A,
Jerome, Idaho |
| Zip: | 83338-2601 |
| Phone Number: | 208-324-3528 |
| Fax Number: | 208-324-4599 |
Patients can reach Red Rock Pharmacy Incorporated at
133 W Avenue A, Jerome, Idaho or can
call on customer care at 208-324-3528.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.