P Praxis·MD
● Active Type 2 · Organization

Medicine Man Bonners Ferry Pharmacy Llc

Pharmacy·Bonners Ferry, ID· NPI 1578826178 · Enumerated 2012 · 13 years on NPI
Medicine Man Bonners Ferry Pharmacy Llc is 1 of 397 pharmacy organizations in Idaho.
NPI age
13 years
Enumerated 2012-06-19
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stuermer
Co-Owner
Last NPPES update
2024-05-23
Source: monthly bulk 2026-05

How this organization compares

Across 397 active pharmacy providers in Idaho.

NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 70% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
6452 Main St
Bonners Ferry, ID 838058520
📞 2082674021fax 2082674024
Mailing address
6452 Main St
Bonners Ferry, ID 838058520
📞 2082674021fax 2082674024

Authorized official

Aimee Stuermer
Co-Owner
📞 2086278861

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A 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...
    ID license #37603RP taxonomy 3336C0003X
  • Pharmacy
    A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
    taxonomy 3336C0004X
  • Pharmacy
    A 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...
    taxonomy 3336L0003X

Identifiers

TypeValueNotes
05 (MT) 1578826178
05 (ID) 1578826178
01 2150407 PK

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Medicine Man Bonners Ferry Pharmacy
    Type code 3 recorded 2015-02-26

Practice context

Multi-provider organization. 5 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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