OrganizationActive
Hells Canyon Health and Wellness Pharmacy
NPI 1619507761 · Long Term Care Pharmacy · Lewiston, ID
Hells Canyon Health and Wellness Pharmacy is a Long Term Care Pharmacy organization in Lewiston, ID (NPI 1619507761).
Provider details
- NPI number
- 1619507761
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Hells Canyon Health and Wellness Pharmacy
- Organization subpart
- Yes
- Authorized official
- Charles Pottenger, Owner(208) 743-5515
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
523 Thain Rd
Lewiston, ID 83501-5530
Phone: (208) 743-5515
Street-level locationGet directions
Mailing address
523 Thain Rd
Lewiston, ID 83501-5530
Other names (DBA / former)
- Doing business as
- Hells Canyon Pharmacy Ltc
Registry dates
- Enumerated
- 2020-01-16
- Last updated
- 2020-01-16
- Certified
- 2020-01-16
Frequently asked questions
- What is Hells Canyon Health and Wellness Pharmacy's NPI number?
- Hells Canyon Health and Wellness Pharmacy's National Provider Identifier (NPI) is 1619507761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hells Canyon Health and Wellness Pharmacy?
- Hells Canyon Health and Wellness Pharmacy is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Hells Canyon Health and Wellness Pharmacy located?
- Hells Canyon Health and Wellness Pharmacy's practice location on file with NPPES is 523 Thain Rd, Lewiston, ID 83501-5530.
- What is Hells Canyon Health and Wellness Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Hells Canyon Health and Wellness Pharmacy is (208) 743-5515.
- Who is the authorized official for Hells Canyon Health and Wellness Pharmacy?
- The authorized official listed on Hells Canyon Health and Wellness Pharmacy's NPPES record is Charles Pottenger, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hells Canyon Health and Wellness Pharmacy's NPI active?
- Yes — Hells Canyon Health and Wellness Pharmacy's NPI (1619507761) is active in the NPPES registry as of the last update on 2020-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.