OrganizationActive
Medicine Man Pharmacy Inc
NPI 1750493698 · Community/Retail Pharmacy · Coeur D Alene, ID
Medicine Man Pharmacy Inc is a Community/Retail Pharmacy organization in Coeur D Alene, ID (NPI 1750493698).
Provider details
- NPI number
- 1750493698
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brian Jorgensen, President(208) 666-2502
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1114 W Ironwood Dr
Coeur D Alene, ID 83814-2605
Phone: (208) 666-2502
Fax: (208) 667-5921
Street-level locationGet directions
Mailing address
1114 W Ironwood Dr
Coeur D Alene, ID 83814-2605
Other names (DBA / former)
- Doing business as
- Medicine Man Pharmacy Inc
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2013-07-01
Frequently asked questions
- What is Medicine Man Pharmacy Inc's NPI number?
- Medicine Man Pharmacy Inc's National Provider Identifier (NPI) is 1750493698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicine Man Pharmacy Inc?
- Medicine Man Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Medicine Man Pharmacy Inc located?
- Medicine Man Pharmacy Inc's practice location on file with NPPES is 1114 W Ironwood Dr, Coeur D Alene, ID 83814-2605.
- What is Medicine Man Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Medicine Man Pharmacy Inc is (208) 666-2502.
- Who is the authorized official for Medicine Man Pharmacy Inc?
- The authorized official listed on Medicine Man Pharmacy Inc's NPPES record is Brian Jorgensen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicine Man Pharmacy Inc's NPI active?
- Yes — Medicine Man Pharmacy Inc's NPI (1750493698) is active in the NPPES registry as of the last update on 2013-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.