NPI age
19 years
Enumerated 2006-07-22
● Active Type 2 · Organization
Byu Id Student Hlth Cntr Pchy
Byu Id Student Hlth Cntr Pchy is 1 of 11 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Andreasen
Pchy Dir
Last NPPES update
2017-04-18
Source: monthly bulk 2026-05
How this organization compares
Across 11 active pharmacy providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 36% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
179 Student Hlth Ctr
Rexburg, ID 834600001
Mailing address
179 Student Hlth Ctr
Rexburg, ID 834600001
Authorized official
Shawn Andreasen, PHARMD RPH
Pchy Dir
📞 2084969330
Specialties
-
Pharmacy PrimaryA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
-
PharmacyA 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...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2020561 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
BYU-IDAHO STUDENT HEALTH CENTER PHARMACY
Practice context
Single-site organization. Only one practice location on file.
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