State of Idaho
NPI 1750442315ActiveOrganization· Pharmacy· Blackfoot, ID
Pharmacy in Blackfoot, Idaho, registered in NPPES in December 2006. The authorized official on file is Tracey G. Sessions, Administrative Director.
Overview
| NPI | 1750442315 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2006 |
| Last updated in NPPES | Jun 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 462HP | ID |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 462HP | 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 |
|---|
Other Pharmacy providers in Blackfoot
- 1285635169
- 1306086053