NPI age
11 years
Enumerated 2014-06-18
● Active Type 2 · Organization
Bear Lake Drug Llc
Bear Lake Drug Llc is 1 of 397 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
Humpherys
Pharmd
Last NPPES update
2017-01-18
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
836 Washington St
Montpelier, ID 832541423
Mailing address
836 Washington St
Montpelier, ID 832541423
Authorized official
Casey Humpherys
Pharmd
📞 2088471421
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Casey Humpherys Pharmacist NPI 1720335664
- Dean Wallentine, PHARM D. Pharmacist NPI 1265425433
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...
-
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 |
|---|---|---|
| 01 | 2147038 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bear Lake Drug L.L.C.
Practice context
Multi-provider organization. 2 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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