NPI age
8 years
Enumerated 2018-02-12
● Active Type 2 · Organization
P. Roman Burk DPM Pc
P. Roman Burk DPM Pc is 1 of 397 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
Burk
Owner
Last NPPES update
2020-10-07
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
8 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-02Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
2667 E. Gala Court Suite 125
Meridian, ID 83642
Mailing address
2667 E. Gala Court Suite 125
Meridian, ID 83642
Authorized official
Phillip Roman Burk
Owner
📞 2088550701
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...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1508365958 | |
| 01 | 2175811 | PK |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mountain Pharmacy
-
Mountain Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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