NPI age
1 years
Enumerated 2024-06-28
● Active Type 2 · Organization
Subpart
Full Circle Health, Inc.
Full Circle Health, Inc. is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
Director Of Pharmacy Services
Last NPPES update
2024-06-28
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
1 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-06Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
315 E Elm St # 201
Caldwell, ID 836054857
Mailing address
777 N Raymond St
Boise, ID 837049251
Authorized official
Jared Lee Moore, PHARMD
Director Of Pharmacy Services
📞 2085142512
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Mark Berger, NP Nurse Practitioner NPI 1023471000
- Jessica Blancett, DO Family Medicine NPI 1144077520
- Kayla Brooking, DO Family Medicine NPI 1679365993
- Sulabha Chaganaboyana, M.D. Family Medicine NPI 1659668218
- Taylor Garcia, FNP-C Nurse Practitioner NPI 1497579049
- Hailey Graviet, MD Family Medicine NPI 1164121356
- Joseph Holmstead, MD Family Medicine NPI 1295580587
- Zachary Leckenby, MD Family Medicine NPI 1053168435
- Heidi Line, FNP Nurse Practitioner NPI 1730809179
- Dylan Quintana, MD Family Medicine NPI 1437042231
- Savannah Whiting, DO Family Medicine NPI 1821843111
- Zechariah Wilson, MD Family Medicine NPI 1104274950
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Full Circle Health Pharmacy Caldwell
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
Subpart of Full Circle Health, Inc..
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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.