NPI age
3 years
Enumerated 2022-10-05
● Active Type 2 · Organization
Subpart
St Lukes Regional Medical Center
St Lukes Regional Medical Center is 1 of 117 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Curtis
Chief Pharmacy Officer
Last NPPES update
2026-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
3 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4840 N Cloverdale Rd Ste P
Boise, ID 837132423
Mailing address
Po Box 640
Boise, ID 837010640
Authorized official
Kelley Curtis
Chief Pharmacy Officer
📞 2084932307
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | NPI |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Lukes Pharmacy - Cloverdale
-
St Lukes Pharmacy - Cloverdale
Practice context
Single-site organization. Only one practice location on file.
Subpart of St Lukes Health System Ltd.
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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.