NPI age
19 years
Enumerated 2006-12-06
● Active Type 2 · Organization
Idaho State University
Idaho State University 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
Trussel
Pharmacy Manager
Last NPPES update
2025-10-13
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
609 Clinic Rd
Challis, ID 832260070
Mailing address
990 S 8th Ave Stop 8158
Pocatello, ID 832014982
Authorized official
Rikki Trussel, PHARMD
Pharmacy Manager
📞 2082823407
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1376602680 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Bengal Pharmacy Challis
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.