NPI age
11 years
Enumerated 2014-10-27
● Active Type 2 · Organization
Latah Community Health Pharmacy
Latah Community Health Pharmacy is 1 of 11 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Ceo
Last NPPES update
2026-01-05
Source: monthly bulk 2026-05
How this organization compares
Across 11 active pharmacy providers in Idaho.
NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 36% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-10Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
803 S Main St Ste 120
Moscow, ID 838433043
Mailing address
731 N Iron Bridge Way
Spokane, WA 992024926
Authorized official
Aaron Wilson
Ceo
📞 5094448888
Individual providers at this organization
19 individual providers on file at this primary practice address.
- Morgan Bond, LMSW Social Worker NPI 1699465674
- Amanda Burks Physician Assistant NPI 1699305185
- Heather Crawford Dental Hygienist NPI 1366296139
- Trang Doan, DDS Dentist NPI 1659825073
- Dennis Falen, PA-C Physician Assistant NPI 1528501475
- Kimberly Hassler, M.D. Family Medicine NPI 1629100870
- David Keene, LCSW Social Worker NPI 1912162140
- Selam Kiflemichael, PHARMACIST Pharmacist NPI 1386112472
- Carmen Koepl Dental Hygienist NPI 1073095501
- Matthew Lassen, PA-C Physician Assistant NPI 1932599214
- Tina Overstreet, SUDP Counselor NPI 1063854107
- Jesse Rapp Pharmacist NPI 1710312178
- Matthew Rice, DO Family Medicine NPI 1073614160
- Dan Schmidt, MD Family Medicine NPI 1619936549
- Heather Shannon, LMSW Social Worker NPI 1659052660
- Austin Sorensen, PHARMD Pharmacist NPI 1497303879
- Keri Sullivan-Walker, PHARMD Pharmacist NPI 1043544331
- Ashley Tadehara Dental Hygienist NPI 1366085847
- Heather Weddle, PHARMD Pharmacist NPI 1245226570
Specialties
-
Pharmacy PrimaryA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
-
PharmacyA 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...
-
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 (ID) | 1750786356 | |
| 01 | 2148393 | PK |
| 05 (WA) | 2073987 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Latah Health Pharmacy
-
Latah Health Pharmacy
Practice context
Multi-provider organization. 19 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 →
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