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Gem State Pharmacy LLC

NPI 1730926080ActiveOrganization· Pharmacy, Compounding Pharmacy· Twin Falls, ID

Pharmacy, Compounding Pharmacy in Twin Falls, Idaho, registered in NPPES in July 2024. The authorized official on file is Logan Weaver, PHARMD, Pharmacist In Charge.

Overview

NPI1730926080
StatusActive
Entity typeOrganization
NPI issuedJul 12, 2024
Last updated in NPPESApr 14, 2026
Certified by providerApr 14, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Compounding Pharmacy Primary3336C0004X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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