NPI age
20 years
Enumerated 2005-06-27
● Active Type 2 · Organization
Glenwood Pharmacy, Inc
Glenwood Pharmacy, Inc is 1 of 117 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
President
Last NPPES update
2013-07-15
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1105 Michigan Ave
Orofino, ID 835449005
Mailing address
1105 Michigan Ave
Orofino, ID 835449005
Authorized official
Patricia Peterson
President
📞 2084765727
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Mary Clark, CPHT Pharmacy Technician NPI 1639840911
- Donald Goetsch, PHARMACIST Pharmacist NPI 1215065487
- Patricia Peterson, R.PH. Pharmacist NPI 1972643237
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002501800 | |
| 05 (ID) | 002593600 | |
| 01 | 1303495 | NABP |
Practice context
Multi-provider organization. 3 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.