NPI age
8 years
Enumerated 2017-09-29
● Active Type 2 · Organization
Subpart
Ladd Family Pharmacy Llc
Ladd Family Pharmacy Llc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lundevall
C.o.o
Last NPPES update
2017-09-29
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
8 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-09Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2000 American Legion Blvd
Mountain Home, ID 836473138
Mailing address
1109 S Broadway Ave
Boise, ID 837063626
Authorized official
Jeremy Lundevall
C.o.o
📞 2089470877
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Layne Roberts, D.O. Family Medicine NPI 1902809205
- Delmar Smith, P.A. Physician Assistant NPI 1336110980
Specialties
-
Pharmacy PrimaryA 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Ladd Family Pharmacy Llc.
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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.