NPI age
19 years
Enumerated 2007-05-25
● Active Type 2 · Organization
Bonner Professional Compounding
Bonner Professional Compounding is 1 of 17 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Snider
Pharmacist In Charge
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 17 active pharmacy providers in Idaho.
NPI age
19 years
↑ 15 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
520 N 3rd Ave
Sandpoint, ID 838641507
Mailing address
520 N 3rd Ave
Sandpoint, ID 838641507
Authorized official
Mary F. Snider, RPH
Pharmacist In Charge
📞 2082651093
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Amy Ahlin, DNP, FNP-C Nurse Practitioner NPI 1700669165
- Sandra Avy Nurse Practitioner NPI 1801247556
- Audrey Buck, RD Dietitian, Registered NPI 1427265453
- Melissa Cosse, MD Emergency Medicine NPI 1942944566
- Sara Couch Pharmacist NPI 1851927073
- Andrew Coyle, LD Dietitian, Registered NPI 1710515176
- Charlene Dehaven, M.D. Emergency Medicine NPI 1033229471
- Mercedes Dirks Nurse Practitioner NPI 1881566602
- Beaver Eller, FNP-BC, AGACNP-BC Nurse Practitioner NPI 1760827372
- Laurie Foutty, ARNP Nurse Practitioner NPI 1598720989
- Sandra Frank, MS, RD, LD, CDCES Dietitian, Registered NPI 1275680449
- Charles Howlett, CHARLES HOWLETT Physical Therapist NPI 1669781639
- Adam Kerr Nurse Anesthetist, Certified Registered NPI 1265703789
- Doug Kidder, RPH Pharmacist NPI 1063608172
- Mauria Prince, RPH Pharmacist NPI 1285262808
- Michael Rosenkranz, MD Anesthesiology NPI 1538261672
- Paul Rumore, M.D. Emergency Medicine NPI 1295845626
- Rachel Seitz, PHARMD Pharmacist NPI 1538488416
- Mary Snider, RPH Pharmacist NPI 1295361418
- Mark Weber, M.D. Radiology NPI 1821001462
Specialties
-
Pharmacy PrimaryA 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 (ID) | 1402CP | STATE LICENSE # |
| 01 (ID) | 1306718 | NCPDS # |
Practice context
Multi-provider organization. 20 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.