OSCO DRUG #3461 – Community/Retail Pharmacy, NPI 1811943590

OSCO DRUG #3461 is a healthcare provider. based in Boise, Idaho. specializing in Community/Retail Pharmacy. The organization holds a License No. 054-013904 (IL). The NPI Number for OSCO DRUG #3461 is 1811943590

Main info

Organization
Name
OSCO DRUG #3461
NPI
1811943590
Phone
(208) 395-6200
Address
250 E PARKCENTER BLVD
Authorized Official
TIFFANY ELIOPULOS ENROLLMENT ASSISTANT MANAGER
Enumeration Date
25 May 2006
Last Update Date
28 June 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for OSCO DRUG #3461

  • 250, East Parkcenter Boulevard, Boise, Ada County, Idaho, 83706, United States

    MAILSTOP SEC2-B

    BOISE, ID 837063940

    Phone: (208) 395-6200

    Type: Mailing

  • 1860, South Arlington Heights Road, Arlington Heights, Elk Grove Township, Cook County, Illinois, 60005, United States

    ARLINGTON HEIGHTS, IL 60005

    Phone: (847) 439-8892

    Fax: (847) 439-7751

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (588 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930051723OPharmacyIL2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83706)

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Reviews

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Frequently asked questions

Does OSCO DRUG #3461 share an NPI with anyone else?
NPI numbers are unique to each provider or organization — OSCO DRUG #3461 uses 1811943590.
Is OSCO DRUG #3461 still practicing?
OSCO DRUG #3461 is currently listed as active in the public NPI registry.
What taxonomy line describes OSCO DRUG #3461?
For research purposes, treat OSCO DRUG #3461 as Community/Retail Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
Does OSCO DRUG #3461 list a practice location?
Patients near Boise, Idaho may find OSCO DRUG #3461 in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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