Jershan Enterprises Inc.
NPI 1477400448ActiveOrganization· Pharmacy, Compounding Pharmacy· Rexburg, ID
Pharmacy, Compounding Pharmacy in Rexburg, Idaho, registered in NPPES in March 2026. The authorized official on file is Jeramy Randall Neibaur, PHARM.D., President. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1477400448 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2026 |
| Last updated in NPPES | May 3, 2026 |
| Certified by provider | May 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
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) | Enrolled Part B Supplier - Pharmacy (ID) |
|---|