NPI age
6 years
Enumerated 2019-09-29
● Active
Type 1 · Individual
Shane Oliver Withers JR., PHARMD, BCPS
Withers is 1 of 91 pharmacist providers in Idaho Falls and 1 of 1739 in Idaho.
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1739 active pharmacist providers in Idaho.
NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-09Enumerated in NPPES
2019
2026
Where they practice
Practice location
2495 E Lincoln Rd
Idaho Falls, ID 834012203
Mailing address
933 E Elva St
Idaho Falls, ID 834012164
Additional practice locations
1 secondary location on file with NPPES.
Location 2
933 E Elva St
Idaho Falls, ID 834012164
Specialties
-
Pharmacist PrimaryAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new pharmacist provider has been added in Idaho Falls in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.