NPI age
19 years
Enumerated 2007-03-23
● Active Type 2 · Organization
State Of Idaho-Dba Idaho State School & Hospital Pharmacy
State Of Idaho-Dba Idaho State School & Hospital Pharmacy is 1 of 10 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broetje
Administrative Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 10 active pharmacy providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1660 11th Ave N
Nampa, ID 836875000
Mailing address
1660 11th Ave N
Nampa, ID 836875000
Authorized official
Susan Broetje
Administrative Director
📞 2084422812
Specialties
-
Pharmacy PrimaryA pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0028335600 |
Practice context
Single-site organization. Only one practice location on file.
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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.