Madison Puryear, is a
Pharmacist based in Oldtown, Idaho. Madison Puryear is licensed to practice in Idaho (license number P10739) and her current practice location is
86 Tank Rd, Oldtown, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 457-7160.
NPI number for Madison Puryear is 1285313239 and her current mailing address is Po Box 458, Priest River, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285313239.
Healthcare Provider's Profile
| Full Name | Madison Puryear |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
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| Location | 86 Tank Rd, Oldtown, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285313239
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 11/19/2024
Medical Identifiers
Medical identifiers for Madison Puryear such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285313239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | P10739 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madison Puryear is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Madison Puryear,
Po Box 458,
Priest River, ID 83856-0458
Ph: (208) 448-1633 | Madison Puryear,
86 Tank Rd,
Oldtown, ID 83822-5126
Ph: (208) 457-7160 |
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