NPI age
20 years
Enumerated 2005-10-10
● Active Type 2 · Organization
Vic'S Family Pharmacy Inc
Vic'S Family Pharmacy Inc is 1 of 117 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Walthall
Pharmacist In Charge
Last NPPES update
2009-10-29
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
173 E 4th St
Kuna, ID 836342103
Mailing address
119 S Valley Dr Ste A
Nampa, ID 836862985
Authorized official
Travis L Walthall, RPH
Pharmacist In Charge
📞 2089224400
Specialties
-
Pharmacy PrimaryA 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) | 8044295400 | |
| 01 (ID) | 1271CP | BOARD OF PHARMACY |
| 01 (ID) | 1306251 | NATL ASSO BOARD OF PHARMA |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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