NPI age
19 years
Enumerated 2006-08-24
● Active Type 2 · Organization
Marketime Drug Of Moscow Inc
Marketime Drug Of Moscow Inc is 1 of 117 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nelson
President
Last NPPES update
2021-01-04
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 55% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
872 Troy Rd Ste 120
Moscow, ID 838435037
Mailing address
872 Troy Rd Ste 120
Moscow, ID 838435037
Authorized official
Erik James Nelson, PHARMD
President
📞 5094559345
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
PharmacyA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
PharmacyA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0023395 | |
| 01 (ID) | 0023396 | MEDICAID DME |
| 01 (WA) | 6021422 | MEDICAID |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Marketime Drug
-
Marketime Drug
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.