NPI age
19 years
Enumerated 2006-09-25
● Active Type 2 · Organization
Idaho Cvs Pharmacy Llc
Idaho Cvs Pharmacy Llc is 1 of 117 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
Colbert
SR. Director, Payer Relations
Last NPPES update
2016-11-21
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 55% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
16300 N Marketplace Blvd
Nampa, ID 836877910
Mailing address
1 Cvs Dr, Box 1075
Woonsocket, RI 028956146
Authorized official
Susan Colbert
SR. Director, Payer Relations
📞 4017702751
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jennifer Berg Student in an Organized Health Care Education/Training Program NPI 1235074048
- Glenda Millard, PHARMD Pharmacist NPI 1265717037
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
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 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2021945 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
CVS Pharmacy #17284
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.