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ISU BENGAL PHARMACY MCCAMMON
NPI 1083393284
Pharmacy - Community/Retail Pharmacy in Mccammon, ID

Active since July 14, 2023CLIA 13D2149772 · Waiver
208 CENTER ST., MCCAMMON, ID 83250(208) 282-6155(208) 254-9372 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 9, 2024, Jun 27, 2024, Aug 17, 2023 and 1 more (4 updates tracked since 2023).

About Isu Bengal Pharmacy Mccammon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISU BENGAL PHARMACY MCCAMMON (NPI 1083393284) is a healthcare organization registered as a community/retail pharmacy in Mccammon, Idaho and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1083393284
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIDAHO STATE UNIVERSITY
Location Address208 CENTER ST.Mccammon, ID 83250
Mailing Address990 S 8th Ave Stop 8158Pocatello, ID 83201-4982 · (208) 282-3407
Phone(208) 282-6155
Fax(208) 254-9372
Organization SubpartNo
Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743
Enumeration DateJuly 14, 2023
Last NPPES UpdateJuly 9, 20244 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1083393284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
208 CENTER ST., Mccammon, ID 83250
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Other Names 1

Other NameIsu Bengal Pharmacy Mccammon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2149772

Idaho State University Bengal Pharmacy · Pocatello, ID
Active · expires Jun 10, 2028
CLIA Number13D2149772
Laboratory TypePharmacy
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorRikki Trussel
Laboratory Phone(208) 282-3407
Laboratory LocationIdaho State University Bengal Pharmacy990 South 8th Avenue, Pocatello, ID 83209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho State University's NPI number?

The NPI number for Idaho State University is 1083393284. It was assigned to this organization in the NPPES registry on July 14, 2023. The provider is also known as Isu Bengal Pharmacy Mccammon.

Where is Idaho State University located?

Idaho State University is located at 208 Center St., Mccammon, ID 83250. The listed phone number is (208) 282-6155.

What is Idaho State University's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Idaho State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2149772) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho State University accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Idaho State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho State University was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.