NPI age
20 years
Enumerated 2005-10-05
● Active Type 2 · Organization
Innovative Care Pharmacy
Innovative Care Pharmacy is 1 of 48 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lanham
President/ceo
Last NPPES update
2013-05-07
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
20 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
9196 E Emerald St, Ste 110
Boise, ID 83704
Mailing address
9196 E Emerald St, Ste 110
Boise, ID 83704
Authorized official
Brad Lanham
President/ceo
📞 8173286421
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2021877 | PK |
| 05 (ID) | 80668600 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
INNOVATIVE CARE PHARMACY LLC
Practice context
Single-site organization. Only one practice location on file.
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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.