Provider Demographics
NPI:1760597793
Name:TRONE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:TRONE HEALTH SERVICES INC
Other - Org Name:MEDICAP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARM.D
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRONE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:208-288-1496
Mailing Address - Street 1:2790 W CHERRY LN
Mailing Address - Street 2:SUITE #100
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1137
Mailing Address - Country:US
Mailing Address - Phone:208-288-1496
Mailing Address - Fax:208-288-1812
Practice Address - Street 1:2790 W CHERRY LN
Practice Address - Street 2:SUITE #100
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-1137
Practice Address - Country:US
Practice Address - Phone:208-288-1496
Practice Address - Fax:208-288-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID1957RP332B00000X, 333600000X, 3336C0003X, 3336C0004X, 3336H0001X, 3336S0011X, 335E00000X
ORRP-0002755-CS3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807173900Medicaid
ID807170300Medicaid
ID1307556OtherNCPDP
ID1307556OtherNCPDP
ID1307556OtherNCPDP
ID5432670002Medicare NSC