NPI age
11 years
Enumerated 2014-08-11
● Active Type 2 · Organization
Subpart
Teton Clinical Pharmacy, Inc.
Teton Clinical Pharmacy, Inc. is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harper
Owner
Last NPPES update
2019-05-03
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-08Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1855 W Broadway St
Idaho Falls, ID 834023043
Mailing address
1855 W Broadway St
Idaho Falls, ID 834023043
Authorized official
Philip Harper, DMD
Owner
📞 2083601317
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jonathan Cattron Pharmacist NPI 1023838703
- Jason Hansen, PHARMD Pharmacist NPI 1215414263
- Michelle Wheatley, PHARMD Pharmacist NPI 1679963227
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Teton Pharmacy On Broadway
-
Teton Pharmacy On Broadway
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Teton Clinical Pharmacy, Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.