OSCO DRUG #3429 – Community/Retail Pharmacy, NPI 1811943731

OSCO DRUG #3429 is a healthcare provider. based in Boise, Idaho. specializing in Community/Retail Pharmacy. The organization holds a License No. 054-003876 (IL). The NPI Number for OSCO DRUG #3429 is 1811943731

Main info

Organization
Name
OSCO DRUG #3429
NPI
1811943731
Phone
Not provided
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 #3429

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

    MAILSTOP SEC2-B

    BOISE, ID 837063940

    Phone:

    Type: Mailing

  • Jewel-Osco, 8730, West Dempster Street, Niles, Cook County, Illinois, 60714, United States

    NILES, IL 60714

    Phone: (847) 296-8847

    Fax: (847) 296-1658

    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: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20100930076837OPharmacyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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

Where can patients find OSCO DRUG #3429's NPI?
You can confirm OSCO DRUG #3429 with NPI 1811943731; it appears in the national provider directory.
Is OSCO DRUG #3429's NPI currently valid?
The extract we use shows OSCO DRUG #3429 as active.
What kind of provider is OSCO DRUG #3429?
The page reflects Community/Retail Pharmacy for OSCO DRUG #3429. Clinical services aligned with this taxonomy classification.
What location shows for OSCO DRUG #3429?
We surface Boise, Idaho for OSCO DRUG #3429 based on available NPPES addresses.
How can I contact OSCO DRUG #3429?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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