NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Medicine Man North Pharmacy Inc

Community/Retail Pharmacy in Hayden, ID · enumerated 2006 · authorized official Korey Kreider, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023179892

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Medicine Man North Pharmacy Inc
Other name <Unavail>
Practice address 8093 N Cornerstone Dr, Hayden, ID, 83835
Phone (208) 762-9355
Fax (208) 762-9198
Enumeration date Dec 13, 2006
Last updated in NPPES Jun 3, 2022

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 1308RP (ID) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary

Authorized official

Name Korey Kreider
Title Coo
Phone (208) 660-3938

Other identifiers

Identifier Type State Issuer
2021452 Other - PK
1023179892 Medicaid ID -

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Medicine Man North Pharmacy Inc?
Medicine Man North Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-06-03.