NPI age
19 years
Enumerated 2006-08-14
● Active Type 2 · Organization
Idaho State Veteran Home - Lewiston
Idaho State Veteran Home - Lewiston is 1 of 48 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crafton
Director Of Pharmacy
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
821 21st Ave
Lewiston, ID 835016389
Mailing address
821 21st Ave
Lewiston, ID 835016389
Authorized official
K Douglas Crafton, RPH
Director Of Pharmacy
📞 2087993422
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Monali Roy Physical Therapist NPI 1508256694
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1307102 | NCPDP NUMBER |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- 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.