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NPI 1417673351
● Active Type 2 · Organization
Idaho State University
Pharmacist · Meridian, ID · NPI 1417673351
·
Enumerated 2022 · 3 years on NPI
Idaho State University is 1 of 1739 pharmacist organizations in Idaho.
NPI age
3 years
Enumerated 2022-10-12
Primary specialty
Pharmacist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2022-10-12
Source: monthly bulk 2026-05
How this organization compares
Across 1739 active pharmacist providers in Idaho.
NPI age
3 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2022 → 2026
2022-10 Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1311 E Central Dr
Meridian, ID 836427991
📞 2083731734 fax 8334991813
Mailing address
1311 E Central Dr
Meridian, ID 836427991
📞 2083731734 fax 8334991813
Authorized official
Cynthia Lee Rock
Clinics Director Of Operations
📞 2083731743
Individual providers at this organization
20 individual providers on file at this primary practice address.
Jennifer Adams , PHARM.D., ED.D.
Pharmacist
NPI 1356481691
Israel Amanuel
Dentist
NPI 1912672312
Allan Baker
Dentist
NPI 1518528108
Mikaela Bayless
Counselor
NPI 1386521649
Brian Bollwitt , D.M.D.
Dentist
NPI 1235547159
Andrea Bornstein , DMD
Dentist
NPI 1700615853
Jessica Bovee
Counselor
NPI 1891674156
Zachary Brazell , MASTERS STUDENT
Counselor
NPI 1518846351
Daniel Buerk
Dentist
NPI 1275376907
Demitri Carahalios , PHYSICIAN ASSISTANT
Physician Assistant
NPI 1346973245
Emily Chitwood
Counselor
NPI 1750260394
Kevin Cleveland , PHARM.D.
Pharmacist
NPI 1811999592
Collin Czajka , DMD
Dentist
NPI 1538846464
Katherine Divine , D.D.S.
Dentist
NPI 1487093704
Amanda Egland
Counselor
NPI 1609755255
Kristine Esplin , FNP
Nurse Practitioner
NPI 1932090610
Kole Fisher , DMD
Student in an Organized Health Care Education/Training Program
NPI 1073305256
Peter Flipsen , SL-P(C) CCC-SLP
Speech-Language Pathologist
NPI 1275845679
Casey Flowers
Dentist
NPI 1114681095
Nancy Foss , CCC-SLP
Speech-Language Pathologist
NPI 1447571435
Specialties
Pharmacist
Primary
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
taxonomy 183500000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.