NPI age
19 years
Enumerated 2007-02-08
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
St Lukes Regional Medical Center is 1 of 48 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Curtis
Chief Pharmacy Officer
Last NPPES update
2022-03-30
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
19 years
↑ 13 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
895 N 6th E
Mtn Home, ID 836472207
Mailing address
Po Box 2777
Boise, ID 837012777
Authorized official
Kelley Curtis
Chief Pharmacy Officer
📞 2084932307
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1302582 | NCPDP NUMBER |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ST Lukes Elmore Pharmacy
-
ST Lukes Elmore Pharmacy
Practice context
Single-site organization. Only one practice location on file.
Subpart of St Luke'S Regional Medical Center.
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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.