P Praxis·MD
● Active Type 1 · Individual

DR. Supriya Ponnapula, PHARM.D.

Pharmacist·Boise, ID· NPI 1053710558 · Enumerated 2014 · 11 years on NPI
Ponnapula is 1 of 10 pharmacist providers in Boise and 1 of 25 in Idaho.
NPI age
11 years
Enumerated 2014-08-20
Primary specialty
Pharmacist
Licensed in
TN
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 25 active pharmacist providers in Idaho.

NPI age
11 years
↑ 3 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-08Enumerated in NPPES
2014 2026

Where they practice

Practice location
500 W Fort St
Boise, ID 837024599
📞 2084221000
Mailing address
500 W Fort St
Boise, ID 837024599
📞 2084221000

Specialties

  • Pharmacist Primary
    A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained...
    TN license #38214 taxonomy 1835P2201X

Practice context

Part of a multi-provider practice. 574 other active providers share this practice address in NPPES.

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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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