NPI age
3 years
Enumerated 2022-09-06
● Active Type 2 · Organization
Subpart
Shaver Holdings Inc
Shaver Holdings Inc is 1 of 17 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shaver
President
Last NPPES update
2022-09-06
Source: monthly bulk 2026-05
How this organization compares
Across 17 active pharmacy providers in Idaho.
NPI age
3 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-09Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
235 S 4th Ave
Pocatello, ID 832016438
Mailing address
235 S 4th Ave
Pocatello, ID 832016438
Authorized official
Daniel Tori Shaver
President
📞 2082357243
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Tracy Becker, PHARM.D. Pharmacist NPI 1417288242
- Talise Chapman, PHARMD Pharmacist NPI 1164936498
- Kim McClung, RPH Pharmacist NPI 1295161750
- Christine Phan Pharmacist NPI 1861065476
- Karami Reed Pharmacist NPI 1588289110
- Brandon Skoumal Pharmacist NPI 1134614373
Specialties
-
Pharmacy PrimaryA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Subpart of Shaver Holdings Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.