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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

1821159997

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Medicine Man North Pharmacy Inc
Other name <Unavail>
Practice address 240 W Hayden Ave, Hayden, ID, 83835
Phone (208) 772-3311
Fax (208) 772-1779
Enumeration date Dec 13, 2006
Last updated in NPPES Jun 3, 2022

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 864RP (ID) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
1821159997 Medicaid ID -
2020947 Other - PK

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.

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Frequently asked questions

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).
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.

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