NPI age
19 years
Enumerated 2006-12-13
● Active Type 2 · Organization
State Of Idaho
State Of Idaho is 1 of 117 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
Sessions
Administrative Director
Last NPPES update
2018-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 55% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
700 East Alice Street
Blackfoot, ID 83221
Mailing address
700 East Alice Street, Po Box 400
Blackfoot, ID 83221
Authorized official
Tracey G. Sessions
Administrative Director
📞 2087858406
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Brady Dowding, PHARM.D. RPH Pharmacist NPI 1164560546
- Kelly Palmer, D.O. Psychiatry & Neurology NPI 1184780694
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...
-
PharmacyA 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 |
|---|---|---|
| 05 (ID) | 002825500 | |
| 05 (ID) | 002835700 | |
| 01 (ID) | 1302772 | NABP & NCPDP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
State Hospital South Pharmacy
Practice context
Multi-provider organization. 2 individual providers 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.