P Praxis·MD
● Active Type 2 · Organization

Continued Care Ltc Pharmacy Idaho Llc

Pharmacy·Boise, ID· NPI 1609430479 · Enumerated 2019 · 7 years on NPI
Continued Care Ltc Pharmacy Idaho Llc is 1 of 48 pharmacy organizations in Idaho.
NPI age
7 years
Enumerated 2019-04-27
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hagen
General Manager
Last NPPES update
2024-08-13
Source: monthly bulk 2026-05

How this organization compares

Across 48 active pharmacy providers in Idaho.

NPI age
7 years
≈ at median (6 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
9196 W Emerald St Ste 125
Boise, ID 837049049
📞 8882772132
Mailing address
Po Box 1250
Riverton, UT 840651250

Authorized official

Brandon Hagen
General Manager
📞 8885574318

Specialties

  • Pharmacy Primary
    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

Practice context

Single-site organization. Only one practice location on file.

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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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