BONNER PROFESSIONAL COMPOUNDING
NPI 1154532794
Pharmacy - Compounding Pharmacy in Sandpoint, ID

NPI Status: Active since May 25, 2007

Contact Information

520 N 3RD AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 265-1093
Fax: (208) 265-1031

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  • Organization
  • Pharmacy
  • Compounding Pharmacy

About BONNER PROFESSIONAL COMPOUNDING

This page provides the complete NPI Profile along with additional information for Bonner Professional Compounding, a provider established in Sandpoint, Idaho operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1154532794 assigned on May 2007. The practitioner's primary taxonomy code is 3336C0004X with license number 1402CP (ID). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Mary F. Snider Rph (Pharmacist In Charge)

NPI
1154532794
Provider Name
BONNER PROFESSIONAL COMPOUNDING
Entity Type
Organization
Location Address
520 N 3RD AVE SANDPOINT, ID 83864
Location Phone
(208) 265-1093
Location Fax
(208) 265-1031
Mailing Address
520 N 3RD AVE SANDPOINT, ID 83864
Mailing Phone
(208) 265-1093
Mailing Fax
(208) 265-1031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
1402CP
License State
ID
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARY F. SNIDER RPH

Authorized Official Title
PHARMACIST IN CHARGE
Authorized Official Phone
(208) 265-1093

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1306718OTHER (01)IDNCPDS #
1402CPOTHER (01)IDSTATE LICENSE #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154532794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041034718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 3 + 4 + 7 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1154532794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144287756BONNER GENERAL HOSPITAL, INC.
Organization
General Acute Care Hospital520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-1101
1821001462DR. MARK EDWARD WEBER M.D.
Individual
Radiology (Diagnostic Radiology)520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-1160
1295845626DR. PAUL GERALD RUMORE M.D.
Individual
Emergency Medicine520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-1180
1033229471DR. CHARLENE MARIE DEHAVEN M.D.
Individual
Emergency Medicine520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-1180
1427265453 AUDREY L BUCK RD
Individual
Dietitian, Registered520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-1180
1063608172 DOUG L KIDDER RPH
Individual
Pharmacist520 N 3RD AVE
SANDPOINT, ID 83864
(208) 305-5196
1386815330SCHILLAR ANESTHESIA SERVICES INC
Organization
Nurse Anesthetist, Certified Registered520 N 3RD AVE
SANDPOINT, ID 83864
(208) 946-0829
1669781639 CHARLES HOWLETT CHARLES HOWLETT
Individual
Physical Therapist (Orthopedic)520 N 3RD AVE
SANDPOINT, ID 83864
(208) 263-1441
1538261672DR. MICHAEL P ROSENKRANZ MD
Individual
Anesthesiology520 N 3RD AVE BONNER GENERAL HOSPITAL
SANDPOINT, ID 83864
(208) 263-1441
1922436062SIESTA ANESTHESIA SERVICES, PLLC
Organization
Anesthesiology520 N 3RD AVE
SANDPOINT, ID 83864
(208) 263-1441
1265703789MR. ADAM M KERR
Individual
Nurse Anesthetist, Certified Registered520 N 3RD AVE
SANDPOINT, ID 83864
(971) 295-0540
1538522511APOLLO MED ANESTHESIA PLLC
Organization
Nurse Anesthetist, Certified Registered520 N 3RD AVE
SANDPOINT, ID 83864
(971) 295-0540
1851927073 SARA COUCH
Individual
Pharmacist520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-3731
1295361418 MARY F SNIDER RPH
Individual
Pharmacist520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-3731
1285262808 MAURIA PRINCE RPH
Individual
Pharmacist520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-3731
1710515176 ANDREW JOHN COYLE LD
Individual
Dietitian, Registered520 N 3RD AVE
SANDPOINT, ID 83864
(208) 263-1441
1093850877BONNER PROFESSIONAL COMPOUNDING
Organization
Pharmacist (Pharmacotherapy)520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-1093
1275680449MRS. SANDRA KAY FRANK MS, RD, LD, CDCES
Individual
Dietitian, Registered520 N 3RD AVE
SANDPOINT, ID 83864
(208) 265-1116
1477200335CRAIG WHITE ANESTHESIA PLLC
Organization
Nurse Anesthetist, Certified Registered520 N 3RD AVE
SANDPOINT, ID 83864
(208) 525-2090
1760827372 BEAVER E ELLER FNP-BC, AGACNP-BC
Individual
Nurse Practitioner (Family)520 N 3RD AVE
SANDPOINT, ID 83864
(208) 263-0649

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154532794, enumerated in the NPI registry as an "organization" on May 25, 2007

The provider is located at 520 N 3rd Ave Sandpoint, Id 83864 and the phone number is (208) 265-1093

This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.