MEDICARE: RIDLEY'S FAMILY MARKETS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PDO1680000144	CO

General Provider Information

NPI Number	:	1831619089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDLEY'S FAMILY MARKETS, INC

Provider Business Mailing Address
First Line	:	621 WASHINGTON ST S
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-5519
Country	:	US
Telephone Number	:	208-324-4633
Fax Number	:	208-324-1190

Provider Business Practice Location Address
First Line	:	7670 5TH ST
Second Line	:
City	:	WELLINGTON
State	:	CO
Zip	:	80549-1500
Country	:	US
Telephone Number	:	970-568-3197
Fax Number	:	970-825-7041

Authorized Official
Title or Position	:	PHARMACY CO DIRECTOR
Name	:	CATHI BAILY KETTERLING
Credential	:	PHARM. D
Telephone Number	:	208-320-2073

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	07/15/2021

Similar Medicare Providers

1801908900 — WELLINGTON MEDICAL CENTER LLC
Practice Location Address:

7859 6TH ST
WELLINGTON, CO
80549-1500

Practice Phone: 970-568-4800
Practice Fax: 970-568-4165

1558406884 — PROFESSIONAL PHARMACY SERVICES
Practice Location Address:

7702 FIFTH ST , SUITE 101
WELLINGTON, CO
80549-1500

Practice Phone: 970-568-7282
Practice Fax: 970-568-7529

1942335757 — MS. LAURA GARRETT LPC NCC CACIII
Practice Location Address:

3527 CLEVELAND AVE
WELLINGTON, CO
80549-1500

Practice Phone: 970-420-4526
Practice Fax:

1568746469 — MR. DOUGLAS HERMAN GOKE LICSW
Practice Location Address:

1500 WELLINGTON CRES
FARIBAULT, MN
55021-6731

Practice Phone: 507-333-5708
Practice Fax:

1780668582 — SCOTT CLIFFORD SOUCIE DC
Practice Location Address:

4006 CLEVELAND AVE , BUILDING B
WELLINGTON, CO
80549

Practice Phone: 970-568-9368
Practice Fax:

1497734149 — MS. VICKI LYNN WITMER N.P.
Practice Location Address:

8025 1ST ST STE. B , RED FEATHER MEDICAL CLINIC
WELLINGTON, CO
80549

Practice Phone: 970-568-7800
Practice Fax:

Directions to “RIDLEY'S FAMILY MARKETS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.