NPI age
4 years
Enumerated 2021-12-01
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
St Lukes Regional Medical Center is 1 of 11 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
Curtis
Chief Pharmacy Officer
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
How this organization compares
Across 11 active pharmacy providers in Idaho.
NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 36% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
11801 W Executive Dr
Boise, ID 837130803
Mailing address
Po Box 640
Boise, ID 837010640
Authorized official
Kelley Curtis
Chief Pharmacy Officer
📞 2084932307
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Kylie Carbol, PHARMD Pharmacist NPI 1427639970
- Reed Jeppe, PHARM D Pharmacist NPI 1184438988
- Sarah Tarantino, PHARMD Pharmacist NPI 1366726853
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these...
-
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) | NPI |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Lukes Pharmacy - Boise Specialty
-
St Lukes Pharmacy - Boise Specialty
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of St Lukes Health System Ltd.
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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.