P Praxis·MD
● Active Type 1 · Individual

DR. Stacy Short, PHARMD

Pharmacist·Idaho Falls, ID· NPI 1043701931 · Enumerated 2018 · 7 years on NPI
Short is 1 of 91 pharmacist providers in Idaho Falls and 1 of 1739 in Idaho.
NPI age
7 years
Enumerated 2018-05-25
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-05-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1739 active pharmacist providers in Idaho.

NPI age
7 years
↓ 3 yr below median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Practice location
380 Spyglass Cir
Idaho Falls, ID 834016334
📞 2085520638
Mailing address
380 Spyglass Cir
Idaho Falls, ID 834016334
📞 2085520638

Specialties

  • Pharmacist Primary
    An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
    ID license #P7990 taxonomy 183500000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new pharmacist provider has been added in Idaho Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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