P Praxis·MD
● Active Type 2 · Organization Subpart

St Lukes Regional Medical Center

Pharmacy·Boise, ID· NPI 1649332768 · Enumerated 2006 · 19 years on NPI
St Lukes Regional Medical Center is 1 of 117 pharmacy organizations in Idaho.
NPI age
19 years
Enumerated 2006-12-14
Primary specialty
Pharmacy
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 117 active pharmacy providers in Idaho.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
190 E Bannock St
Boise, ID 837126241
📞 2083814353fax 2083814355
Mailing address
Po Box 640
Boise, ID 837010640

Authorized official

Kelley Curtis
Chief Pharmacy Officer
📞 2084932307

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    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...
    ID license #1019CP taxonomy 333600000X

Identifiers

TypeValueNotes
01 (ID) 20022777 MEDICARE - PART B VACCINE
01 (ID) 4366970002 MEDICARE - O/P PHARMACY
05 (ID) 002253300

Other names on file (3)

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

  • St Lukes Pharmacy - Boise Vaccines
    Type code 3 recorded 2022-12-08
  • St. Luke's Out Patient Pharmacy
    Type code 3 recorded 2022-12-08
  • St. Luke's Out Patient Pharmacy
    Type code 3 recorded 2008-04-30

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of St Lukes Health System Ltd.

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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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