NPI age
4 years
Enumerated 2021-12-01
● Active Type 2 · Organization
Sandpoint Super Drug Clinical
Sandpoint Super Drug Clinical is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Porter
Authorized Official
Last NPPES update
2022-03-24
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
4 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
604 N Fifth Ave
Sandpoint, ID 838641520
Mailing address
604 N Fifth Ave
Sandpoint, ID 838641520
Authorized official
Scott Porter, PHARMD
Authorized Official
📞 2082631408
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Logan Woolson, PHARMD Pharmacist NPI 1871101113
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
PharmacyA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Sandpoint Super Drug Clinical Services
-
Sandpoint Super Drug Clinical Services
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.