P Praxis·MD
● Active Type 2 · Organization Subpart

Jewel Osco Southwest Llc

Pharmacy·Boise, ID· NPI 1629169289 · Enumerated 2006 · 19 years on NPI
Jewel Osco Southwest Llc is 1 of 397 pharmacy organizations in Idaho.
NPI age
19 years
Enumerated 2006-09-27
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Torres
Pharmacy Enrollment Specialist
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 397 active pharmacy providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 70% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
250 E Parkcenter Blvd
Boise, ID 837063940
📞 2083953963fax 6233366363
Mailing address
75 Remittance Drive, Suite 1242
Chicago, IL 606751242
📞 8479164463fax 8479164736

Authorized official

Lorenzo Torres
Pharmacy Enrollment Specialist
📞 2083953963

Individual providers at this organization

12 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...
    taxonomy 3336C0003X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    taxonomy 332B00000X
  • Pharmacy
    A 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...
    taxonomy 333600000X

Identifiers

TypeValueNotes
01 P00447103 RAILROAD MEDICARE TPAN

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

Subpart of Albertsons Holdings Llc.

Provyx · Custom healthcare lists

Need all 397 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

  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.

Related