Madison Puryear

Pharmacist · Oldtown, ID

Individual Active NPI

NPI number 1285313239

Practice location

86 Tank Rd
Oldtown, ID 83822-5126
Phone
(208) 457-7160

Open in Google Maps

NPI record

NPI
1285313239
Entity type
Individual (Type 1)
Enumeration date
July 17, 2023
Last updated
November 19, 2024
Certified
November 19, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X P10739 ID

Mailing address

PO Box 458
Priest River, ID 83856-0458
Phone
(208) 448-1633

Other practice locations (2)

  • 31964 N 5th Ave, Spirit Lake, ID 83869-9472 · (208) 623-8485
  • 5453 Highway 2, Priest River, ID 83856 · (208) 448-1633

About Madison Puryear

Madison Puryear is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 86 Tank Rd, Oldtown, ID 83822-5126. The NPI number 1285313239 was assigned on July 17, 2023 and the record was last updated on November 19, 2024.

Madison Puryear lists a license in the registry: #P10739 (ID) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Madison Puryear?

The NPI number is 1285313239.

What is the phone number of Madison Puryear?

The phone number listed for the practice location is (208) 457-7160.

Where is Madison Puryear located?

86 Tank Rd, Oldtown, ID 83822-5126.

What is the taxonomy code for Madison Puryear?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.