Medicine Man North Pharmacy Inc
NPI 1023179892 · Community/Retail Pharmacy · Hayden, ID
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medicine Man North Pharmacy Inc is a Community/Retail Pharmacy organization in Hayden, ID (NPI 1023179892).
Provider details
- NPI number
- 1023179892
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Korey Kreider, Coo(208) 660-3938
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
123 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 59 | $28 |
| Administration of Pneumococcal, Influenza, Hepatitis B, And/Or Covid-19 Vaccine Inside a Patient'S Home; Reported Only Once Per Individual Home Per Date of Service When Such Vaccine Administration(s) Are Performed at the Patient'S HomeM0201 | 38 | $35 |
| Admn Sarscov2 Vacc 1 Dose90480 | 26 | $39 |
Typical Medicare-allowed amounts for these services range $28–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Medicine Man Prairie Pharmacy
- Doing business as
- Medicine Man Prairie Pharmacy
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2022-06-03
- Certified
- 2022-06-03
Frequently asked questions
- What is Medicine Man North Pharmacy Inc's NPI number?
- Medicine Man North Pharmacy Inc's National Provider Identifier (NPI) is 1023179892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicine Man North Pharmacy Inc?
- Medicine Man North Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Medicine Man North Pharmacy Inc located?
- Medicine Man North Pharmacy Inc's practice location on file with NPPES is 8093 N Cornerstone Dr, Hayden, ID 83835-8753.
- What is Medicine Man North Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Medicine Man North Pharmacy Inc is (208) 762-9355.
- Does Medicine Man North Pharmacy Inc accept Medicare?
- Medicine Man North Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medicine Man North Pharmacy Inc?
- The authorized official listed on Medicine Man North Pharmacy Inc's NPPES record is Korey Kreider, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicine Man North Pharmacy Inc's NPI active?
- Yes — Medicine Man North Pharmacy Inc's NPI (1023179892) is active in the NPPES registry as of the last update on 2022-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.