Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medicine Man North Pharmacy Inc

Organization Pharmacy · NPI 1821159997

Medicine Man North Pharmacy Inc is a Pharmacy in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 W Hayden Ave
Hayden, ID 83835-8194
Phone: (208) 772-3311
Fax: (208) 772-1779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 864RP (ID)
Pharmacy Taxonomy 333600000X

Record details

NPI number1821159997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Korey Kreider — Coo · (208) 660-3938
Other names Medicine Man Hayden Pharmacy; Medicine Man Hayden Pharmacy
NPI enumeratedDecember 13, 2006
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022
Mailing addressPo Box 1706, Hayden, ID 83835-1706

Other providers in Hayden