NPI age
20 years
Enumerated 2005-12-14
● Active Type 2 · Organization
Heartland Pharmacy - Idaho Falls
Heartland Pharmacy - Idaho Falls is 1 of 48 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ferguson
Authorized Official
Last NPPES update
2020-12-14
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
20 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
3250 E 17th St
Ammon, ID 834066758
Mailing address
1790 Sabin Dr
Ammon, ID 834066747
Authorized official
Andrea Ferguson
Authorized Official
📞 2084973575
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Derik Christensen, PHARM.D. Pharmacist NPI 1912308438
- Lisa Cowley, RPH Pharmacist NPI 1952888372
- Spencer Dietz, PHARMD, RPH Pharmacist NPI 1073079281
- Karleen Lynes, PHARM.D. Pharmacist NPI 1205170420
- Lonnie Pyper, PHARMD Pharmacist NPI 1962177113
- Kenneth Carlin Roose Pharmacist NPI 1790566404
- Benjerman Shay, PHARMD Pharmacist NPI 1407521800
- Bruce Webb, PHARMD Pharmacist NPI 1043760648
- Amanda Whitmill, PHARM.D. Pharmacist NPI 1851872436
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...
-
PharmacyA 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 (MT) | 0212857 | |
| 05 (UT) | 1740265420 | |
| 05 (ID) | 806143700 | |
| 01 | 2021757 | PK |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
HEARTLAND PHARMACY
-
HEARTLAND PHARMACY
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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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.