NPI age
19 years
Enumerated 2007-01-03
● Active Type 2 · Organization
Subpart
Teton Clinical Pharmacy, Inc.
Teton Clinical Pharmacy, Inc. is 1 of 7 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
Bailey
Office Manager
Last NPPES update
2013-04-05
Source: monthly bulk 2026-05
How this organization compares
Across 7 active pharmacy providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 85% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2470 Jafer Ct.
Idaho Falls, ID 83404
Mailing address
2470 Jafer Ct.
Idaho Falls, ID 83404
Authorized official
Pamela Ann Bailey
Office Manager
📞 2085293636
Specialties
-
Pharmacy PrimaryPharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of...
-
Home InfusionDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002551700 | |
| 05 (ID) | 002551800 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Teton Pharmacy Home Health & Hospice
Practice context
Single-site organization. Only one practice location on file.
Subpart of Teton Pharmacy Home Health & Hospice.
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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.