P Praxis·MD
● Active Type 2 · Organization

Bonner Professional Compounding

Pharmacist·Sandpoint, ID· NPI 1093850877 · Enumerated 2007 · 19 years on NPI
Bonner Professional Compounding is 1 of 71 pharmacist organizations in Idaho.
NPI age
19 years
Enumerated 2007-02-20
Primary specialty
Pharmacist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rickard
Chief Executive Officer
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 71 active pharmacist providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
520 N 3rd Ave
Sandpoint, ID 838641507
📞 2082651093fax 2082651031
Mailing address
520 N 3rd Ave
Sandpoint, ID 838641507
📞 2082651093fax 2082651031

Authorized official

Sheryl Rickard
Chief Executive Officer
📞 2082631441

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Pharmacist Primary
    A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level...
    ID license #1402CP taxonomy 1835P1200X

Identifiers

TypeValueNotes
01 (ID) 1402CP STATE BOARD OF PHARMACY
01 (DC) BB8651526 CONTROLLED SUBSTANCE REGI

Practice context

Multi-provider organization. 20 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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