NPI age
19 years
Enumerated 2006-12-21
● Active Type 2 · Organization
Minidoka Memorial Hospital
Minidoka Memorial Hospital 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
Murphy
Administrator
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1224 8th St
Rupert, ID 833501527
Mailing address
1224 8th St
Rupert, ID 833501527
Authorized official
Thomas J Murphy
Administrator
📞 2084368141
Individual providers at this organization
15 individual providers on file at this primary practice address.
- Jessica Bagby, MD Emergency Medicine NPI 1093161473
- Jeffery Baldwin, P.T. Physical Therapist NPI 1205855202
- Scott Bloxham, P.T. Physical Therapist NPI 1962488205
- Charles Clair, MD Family Medicine NPI 1003012204
- Rachel Durrant, MS, CCC-SLP Speech-Language Pathologist NPI 1215432984
- Benjamin Guercio, CRNA Nurse Anesthetist, Certified Registered NPI 1972763381
- Maria Hernandez, P.T. Physical Therapist NPI 1730104597
- Lori Johnson, R.D.,L.D Dietitian, Registered NPI 1669578472
- Donald Konrad, D.O. Family Medicine NPI 1306836077
- Brandon Madsen, CRNA Nurse Anesthetist, Certified Registered NPI 1265037741
- Davee Mussmann, DPT Physical Therapist NPI 1144202938
- William Robar, DO Emergency Medicine NPI 1225560444
- Allison Serr, FNP-C Nurse Practitioner NPI 1144933912
- David Wageman, DO Emergency Medicine NPI 1528108867
- David Ward, PHARMD Pharmacist NPI 1851477863
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 |
|---|---|---|
| 01 | 1301895 | NABP (NCPDP) |
| 05 (ID) | M0023364 | |
| 01 (ID) | 379HP | STATE BOARD OF PHARMACY |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Minidoka Memorial Hospital Pharmacy
Practice context
Multi-provider organization. 15 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 →
- 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.