NPI age
18 years
Enumerated 2008-03-30
● Active Type 2 · Organization
Ladd Family Pharmacy Llc
Ladd Family Pharmacy Llc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lundevall
Coo
Last NPPES update
2017-08-01
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 70% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-03Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1109 S Broadway Ave
Boise, ID 837063626
Mailing address
1109 S Broadway Ave
Boise, ID 837063626
Authorized official
Jeremy Lundevall, CPHT
Coo
📞 2089470877
Individual providers at this organization
2 individual providers on file at this primary practice address.
- William Devereux, RPH Pharmacist NPI 1861939969
- Andrew Harmon, PHARMD Pharmacist NPI 1023492303
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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2022000 | PK |
| 05 (ID) | M8081177 | |
| 05 (ID) | M8081035 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LADD FAMILY PHARMACY
Practice context
Multi-provider organization. 2 individual providers 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.