P Praxis·MD
● Active Type 2 · Organization

Super Save Highland Pharmacy

Pharmacy·Pocatello, ID· NPI 1003802315 · Enumerated 2005 · 20 years on NPI
Super Save Highland Pharmacy is 1 of 117 pharmacy organizations in Idaho.
NPI age
20 years
Enumerated 2005-09-22
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shaver
Vice President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 117 active pharmacy providers in Idaho.

NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
755 Hospital Way, Suite B1
Pocatello, ID 832014869
📞 2082379393fax 2082376017
Mailing address
755 Hospital Way B1, P O Box 4869
Pocatello, ID 832054869
📞 2082379393fax 2082376017

Authorized official

Tori Daniel Shaver
Vice President
📞 2082329392

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
    ID license #1537CP taxonomy 333600000X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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