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Red Rock Pharmacy Incorporated

Durable Medical Equipment & Medical Supplies in Jerome, ID · enumerated 2006 · authorized official Edward Snell, Owner.

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

National Provider Identifier

1902832314

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Registry record

Entity type Organization (Type 2)
Legal business name Red Rock Pharmacy Incorporated
Other name <Unavail>
Practice address 133 W Avenue A, Jerome, ID, 83338
Fax (208) 324-4599
Enumeration date Jun 25, 2006
Last updated in NPPES Sep 29, 2010

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 1804CP (ID) Primary
3336C0003X Community/Retail Pharmacy Suppliers · License 1804CP (ID) Secondary
3336H0001X Home Infusion Therapy Pharmacy Suppliers · License 1804CP (ID) Secondary

Authorized official

Name Edward Snell
Title Owner

Other identifiers

Identifier Type State Issuer
806707900 Medicaid ID -
806707800 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.

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Frequently asked questions

Where is Red Rock Pharmacy Incorporated located?
The practice location on file with NPPES is in Jerome, ID.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-09-29. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-29.