P Praxis·MD
● Active Type 2 · Organization

Interlake Pharmacy Inc

Pharmacist·Coeur D Alene, ID· NPI 1467425249 · Enumerated 2006 · 20 years on NPI
Interlake Pharmacy Inc is 1 of 1739 pharmacist organizations in Idaho.
NPI age
20 years
Enumerated 2006-02-10
Primary specialty
Pharmacist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Pharmacist/owner
Last NPPES update
2015-09-14
Source: monthly bulk 2026-05

How this organization compares

Across 1739 active pharmacist providers in Idaho.

NPI age
20 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
700 W Ironwood Dr, Suite 159
Coeur D Alene, ID 838142656
📞 2086646664fax 2086648527
Mailing address
700 W Ironwood Dr, Suite 159
Coeur D Alene, ID 838142656
📞 2086646664fax 2086648527

Authorized official

Tim Brown, RPH
Pharmacist/owner
📞 2086646664

Individual providers at this organization

20 individual providers on file at this primary practice address.

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,...
    ID license #782CP taxonomy 183500000X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    ID license #782CP taxonomy 332B00000X

Identifiers

TypeValueNotes
05 (ID) 002627900
05 (ID) 001679200

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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