NPI age
10 years
Enumerated 2015-10-27
● Active Type 2 · Organization
Subpart
Teton Pharmacy In Ammon
Teton Pharmacy In Ammon is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harper
Owner
Last NPPES update
2019-04-29
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
10 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3160 E 17th St Ste 164
Ammon, ID 834066784
Mailing address
2470 Jafer Ct
Idaho Falls, ID 834045587
Authorized official
Philip Harper, DMD
Owner
📞 2085293638
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Joseph Brown, PHARMD Pharmacist NPI 1346417003
- Jacee Clark, PHARMD Pharmacist NPI 1043937741
- Jared Lyon, PHARMD., RPH Pharmacist NPI 1912304049
- Kyren Tweedie Student in an Organized Health Care Education/Training Program NPI 1609748854
Specialties
-
Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1831561034 | |
| 01 | 2154929 | PK |
| 05 (ID) | 1043629397 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Teton Pharmacy in Ammon
-
Teton Pharmacy in Ammon
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Subpart of Teton Clinical Pharmacy Inc.
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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.