NPI age
19 years
Enumerated 2006-07-08
● Active Type 2 · Organization
Pharmerica Drug Systems Inc
Pharmerica Drug Systems Inc is 1 of 48 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pangrazio
Contract Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 48 active pharmacy providers in Idaho.
NPI age
19 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
8211 Ustick Rd
Boise, ID 837045756
Mailing address
Po Box 409244
Atlanta, GA 303849244
Authorized official
Pebbles Pangrazio
Contract Administrator
📞 8779752273
Specialties
-
Pharmacy PrimaryA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MT) | 0230401 | |
| 01 | 1307405 | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 05 (AK) | PH521ID |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PHARMERICA
Practice context
Single-site organization. Only one practice location on file.
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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.