NPI age
12 years
Enumerated 2013-06-17
● Active Type 2 · Organization
Idaho State University
Idaho State University 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
Trussel
Pharmacy Manager
Last NPPES update
2022-04-04
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
12 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-06Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
990 S 8th Ave
Pocatello, ID 832014982
Mailing address
990 S 8th Ave, Stop 8158
Pocatello, ID 832090001
Authorized official
Rikki K Trussel
Pharmacy Manager
📞 2082823407
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Donelle Airmet, PHARMD Pharmacist NPI 1033643630
- Bret Jacobson, PHARMD Pharmacist NPI 1144337858
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) | 1497194013 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Bengal Pharmacy Pocatello
Practice context
Multi-provider organization. 2 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.