P Praxis·MD
● Active Type 2 · Organization

Medicine Man Compounding Center Llc

Pharmacy·Post Falls, ID· NPI 1659907962 · Enumerated 2020 · 6 years on NPI
Medicine Man Compounding Center Llc is 1 of 17 pharmacy organizations in Idaho.
NPI age
6 years
Enumerated 2020-03-18
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Managing Parner
Last NPPES update
2020-03-18
Source: monthly bulk 2026-05

How this organization compares

Across 17 active pharmacy providers in Idaho.

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

NPI lifetime · 2020 → 2026

2020-03Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
565 N Vest St
Post Falls, ID 838547066
📞 2087732499fax 2087736309
Mailing address
565 N Vest St
Post Falls, ID 838547066
📞 2087732499fax 2087736309

Authorized official

Donald Ray Smith, RPH
Managing Parner
📞 2086615199

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
    taxonomy 3336C0004X

Other names on file (1)

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

  • Medicine Man Compounding Center LLC
    Type code 3 recorded 2020-03-18

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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