P Praxis·MD
● Active Type 1 · Individual

Paul Debarton Walbom, RPH

Pharmacist·Idaho Falls, ID· NPI 1689260762 · Enumerated 2020 · 5 years on NPI
Walbom is 1 of 1 pharmacist providers in Idaho Falls and 1 of 3 in Idaho.
NPI age
5 years
Enumerated 2020-12-14
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3 active pharmacist providers in Idaho.

NPI age
5 years
≈ at median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Practice location
700 E 17th St
Idaho Falls, ID 834046152
📞 2085230831fax 2085254752
Mailing address
875 Rio Virgin Dr Unit 276
St George, UT 847907866
📞 4353198015

Specialties

  • Pharmacist Primary
    A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of...
    ID license #P5703 taxonomy 1835C0205X

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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