Super Save Highland Pharmacy
NPI 1003802315ActiveOrganization· Pharmacy· Pocatello, ID
Pharmacy in Pocatello, Idaho, registered in NPPES in September 2005. The authorized official on file is Tori Daniel Shaver, Vice President.
Overview
| NPI | 1003802315 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 1537CP | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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