NPI age
4 years
Enumerated 2021-11-29
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
St Lukes Regional Medical Center is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Curtis
Chief Pharmacy Officer
Last NPPES update
2026-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
4 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
11801 W Executive Dr
Boise, ID 837130803
Mailing address
Po Box 640
Boise, ID 837010640
Authorized official
Kelley Curtis
Chief Pharmacy Officer
📞 2084932307
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Kylie Carbol, PHARMD Pharmacist NPI 1427639970
- Reed Jeppe, PHARM D Pharmacist NPI 1184438988
- Sarah Tarantino, PHARMD Pharmacist NPI 1366726853
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...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 4366970009 | MEDICARE |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Lukes Pharmacy - Boise Community
-
St Lukes Pharmacy - Boise Community
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd.
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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.