NPI age
14 years
Enumerated 2012-02-10
● Active Type 2 · Organization
Mountain Care Pharmacy Idaho
Mountain Care Pharmacy Idaho is 1 of 48 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
Stong
Owner
Last NPPES update
2012-02-10
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
14 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1753 W Broadway St
Idaho Falls, ID 834023045
Mailing address
1030 Bellwood Ln
Murray, UT 841234494
Authorized official
Jared Stong
Owner
📞 8017477191
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Morgan Bowlin, AU.D. Audiologist NPI 1104665207
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...
-
PharmacyA 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 |
|---|---|---|
| 01 | 1308661 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mountain Care Pharmacy
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 48 Pharmacy providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.