OrganizationActive
Medicine Man North Pharmacy Inc
NPI 1821159997 · Community/Retail Pharmacy · Hayden, ID
Medicine Man North Pharmacy Inc is a Community/Retail Pharmacy organization in Hayden, ID (NPI 1821159997).
Provider details
- NPI number
- 1821159997
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Korey Kreider, Coo(208) 660-3938
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
240 W Hayden Ave
Hayden, ID 83835-8194
Phone: (208) 772-3311
Fax: (208) 772-1779
Street-level locationGet directions
Mailing address
Po Box 1706
Hayden, ID 83835-1706
Other names (DBA / former)
- Doing business as
- Medicine Man Hayden Pharmacy
- Doing business as
- Medicine Man Hayden 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 1821159997, 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 240 W Hayden Ave, Hayden, ID 83835-8194.
- 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) 772-3311.
- 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 (1821159997) 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.