Kendrick Pharmacy Inc
Kendrick Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Gooding, ID, holding Type 2 (organization) NPI 1023122090 since 2006. The authorized official on file is Gary Sackman, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023122090 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kendrick Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 414 MAIN ST, Gooding, ID, 83330 |
| Phone | 2089344000 |
| Fax | 2089348899 |
| Enumeration date | 2006-08-18 |
| Last updated in NPPES | 2014-09-16 |
Authorized official
| Name | Gary Sackman |
|---|---|
| Title | Owner |
| Phone | 2089344000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 503CP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019764 | Other | — | PK |
| 002443200 | Medicaid | ID | — |
Copy-ready billing details
Provider: Kendrick Pharmacy Inc NPI: 1023122090 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 414 MAIN ST, Gooding, ID, 83330
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275088767 | Shelby Lancaster | Individual | Pharmacist | Gooding, ID |
| 1003571845 | Dallin Farnes | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Gooding, ID |
Verify this record
Cross-check NPI 1023122090 against the authoritative CMS record: view Kendrick Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Kendrick Pharmacy Inc?
Who is the authorized official for Kendrick Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-09-16.