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NPI 1902149180
● Active Type 2 · Organization
R & J Pharmacy, Inc
Pharmacy · Blackfoot, ID · NPI 1902149180
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Enumerated 2013 · 13 years on NPI
R & J Pharmacy, Inc is 1 of 397 pharmacy organizations in Idaho.
NPI age
13 years
Enumerated 2013-04-05
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
President
Last NPPES update
2013-04-05
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2013 → 2026
2013-04 Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1441 Parkway Dr
Blackfoot, ID 832211667
📞 2086847011
Mailing address
69 N Pine St
Blackfoot, ID 832212053
📞 2087853510 fax 2087857317
Authorized official
Robert N Miller, PHARM-D
President
📞 2087853510
Individual providers at this organization
20 individual providers on file at this primary practice address.
Jason Bailey , PHARM.D
Pharmacist
NPI 1730171356
Nicole Bair , DPT
Physical Therapist
NPI 1467942144
Danielle Bangerter , FNP-C
Nurse Practitioner
NPI 1164204368
Max Barney
Nurse Practitioner
NPI 1720448590
Paul Beckett , DO
Family Medicine
NPI 1831115757
Ryan Bichsel
Nurse Practitioner
NPI 1699576835
Brian Boehme
Physical Therapist
NPI 1164445086
Steven Clinger , MD
Family Medicine
NPI 1790722841
Gordon Dixon , DO
Family Medicine
NPI 1578518395
Sadie Ellis , DPT
Physical Therapist
NPI 1326285560
Debra Erramouspe , PA
Physician Assistant
NPI 1144264532
Matthew Fackrell , DO
Family Medicine
NPI 1215968045
Douglas Gilbert , NP
Nurse Practitioner
NPI 1285661033
Rhonda Grandee , PA
Physician Assistant
NPI 1184668139
Guss Grimmett , NP
Nurse Practitioner
NPI 1881620730
Heather Grimmett , PA
Physician Assistant
NPI 1073792586
George Hales , MD
Family Medicine
NPI 1356665087
Francis Johansen , D.O.
Internal Medicine
NPI 1447253968
Andrew McAbery , PT
Physical Therapist
NPI 1932365418
Kirt McKinlay , MD
Family Medicine
NPI 1902843089
Specialties
Pharmacy
Primary
A 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...
ID license #FP3773567 taxonomy 3336C0003X
Identifiers
Type Value Notes
01 (ID)
FP3773567
IDAHO BOARD OF PHARMACY
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.