PRESCRIPTION CENTER HOME CARE, LLC
NPI 1881697118
Pharmacy - Home Infusion Therapy Pharmacy in Idaho Falls, ID
NPI Status: Active since May 31, 2005
Contact Information
2250 CORONADO ST
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 528-7979
Fax: (208) 523-2238
- Organization
- Pharmacy
- Home Infusion Therapy Pharmacy
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 13D1013427
- CLIA Cert. Type: Other - HOME INFUSION SERVICES
- CLIA Exp. Date: 06-09-2027
About PRESCRIPTION CENTER HOME CARE, LLC
This page provides the complete NPI Profile along with additional information for Prescription Center Home Care, Llc, a provider established in Idaho Falls, Idaho operating as a Pharmacy, focusing in home infusion therapy pharmacy . The healthcare provider is registered in the NPI registry with number 1881697118 assigned on May 2005. The practitioner's primary taxonomy code is 3336H0001X. 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 Mr. Ned Hillyard (Owner/manager)
- NPI
- 1881697118
- Provider Name
- PRESCRIPTION CENTER HOME CARE, LLC
- Entity Type
- Organization
- Location Address
- 2250 CORONADO ST IDAHO FALLS, ID 83404
- Location Phone
- (208) 528-7979
- Location Fax
- (208) 523-2238
- Mailing Address
- 2250 CORONADO ST IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 528-7979
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2005
- Last Update Date
- 01-12-2021
- Code Navigator
Prescription Center Home Care, Llc is a medicare supplier with PTAN 20632763 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Infusion Drugs or External Infusion Pumps and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies.
Location Map
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 Home Infusion Therapy Pharmacy
- Taxonomy Code
- 3336H0001X
- Type
- Suppliers
- Taxonomy Description
- Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332BP3500X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 333600000X | Suppliers | Pharmacy | |
| 3 | 3336C0004X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
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.
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 |
|---|---|---|---|
| 002646000 | MEDICAID (05) | ID | |
| 002645900 | MEDICAID (05) | ID |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20632763
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Infusion Drugs -
- External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
- Parenteral Nutrients - Parenteral nutrient solutions
- Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D1013427
- Facility Type
- Other - HOME INFUSION SERVICES
- Certificate Effective Date
- June 10, 2025
- Certificate Expiration Date
- June 09, 2027
- Laboratory Director
- GARY K. PULLEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prescription Center Home Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 8 | 8 | 1 | 6 | 9 | 7 | 1 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 12 | 9 | 14 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 2 + 9 + 1 + 4 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1881697118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417940578 | MR. GARY KEVIN PULLEN RPH Individual | Pharmacist | 2250 CORONADO ST IDAHO FALLS, ID 83404 (208) 528-7979 |
| 1386738565 | LETITIA ANNE WILLIAMS R.PH. Individual | Pharmacist | 2250 CORONADO ST IDAHO FALLS, ID 83404 (208) 528-7979 |
| 1942880687 | JOHN WORLEY HALL PHARMD Individual | Pharmacist | 2250 CORONADO ST IDAHO FALLS, ID 83404 (208) 528-7979 |
| 1124785696 | YAZMIN J FRODIN Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 2250 CORONADO ST IDAHO FALLS, ID 83404 (208) 542-4140 |
| 1114638624 | BRIAN W BYRD PHARMD Individual | Pharmacist | 2250 CORONADO ST IDAHO FALLS, ID 83404 (208) 542-4141 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881697118, enumerated in the NPI registry as an "organization" on May 31, 2005
The provider is located at 2250 Coronado St Idaho Falls, Id 83404 and the phone number is (208) 528-7979
This medical organization specializes in Pharmacy with taxonomy code 3336H0001X with a focus in Home Infusion Therapy Pharmacy
The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D1013427 for a "other - home infusion services" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 31, 2005. 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.