# RIDLEYS FAMILY MARKETS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridley's Pharmacy \#1165
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548681877
- **Authorized official:** TODD WISE (PHARMACY DIRECTOR)
- **Authorized official phone:** (801) 358-3365

## Contact information

- **Practice address:** 4045 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005-5512
- **Practice address phone:** (801) 789-4997
- **Practice address fax:** (801) 789-4993
- **Mailing address:** 621 WASHINGTON ST S, TWIN FALLS, ID 83301-5519
- **Mailing address phone:** (208) 324-4633
- **Mailing address fax:** (208) 324-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 87123051703 | UT | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548681877 | — | UT |
| 01 | — | 2143719 | PK | — |