NPI age
19 years
Enumerated 2006-08-30
● Active Type 2 · Organization
Innovative Care Pharmacy
Innovative Care Pharmacy 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
Moore
Vp Purchasing
Last NPPES update
2009-09-25
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
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
9196 W Emerald St, Ste 110
Boise, ID 837040679
Mailing address
9196 W Emerald St, Ste 110
Boise, ID 837040679
Authorized official
Sheila Moore
Vp Purchasing
📞 8175527630
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Maggie Benedetti, LMSW Social Worker NPI 1639601339
- George Drashner, RPH Pharmacist NPI 1124324207
- Talia Esplin, LPC Counselor NPI 1982334108
- David Harrison Pharmacist NPI 1003112053
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) | 806967700 | |
| 01 | 1307619 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
INNOVATIVE CARE PHARMACY LLC
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 397 Pharmacy providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.