PHARMACY
NPI 1083794598
Pharmacy in Boise, ID

Q: What is St Alphonsus Regional Med's NPI number?

The NPI number for St Alphonsus Regional Med is 1083794598. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is also known as Pharmacy.

Q: What is St Alphonsus Regional Med's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since October 17, 2006CLIA 13D0646352 · Accreditation

1055 N CURTIS RD, BOISE, ID 83706(208) 367-3069(208) 367-3016 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 24, 2023, May 24, 2018 (2 updates tracked since 2018).

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About Pharmacy NPPES

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

PHARMACY (NPI 1083794598) is a healthcare organization registered as a pharmacy in Boise, Idaho and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Brian Lannie Checketts, Cfo And Board Member, as its authorized official.

NPPES Registry Identity

NPI1083794598

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameST ALPHONSUS REGIONAL MED

Location Address1055 N CURTIS RDBoise, ID 83706

Mailing Address1055 N Curtis RdBoise, ID 83706-1309 · (208) 367-3069 · Fax (208) 367-3016

Phone(208) 367-3069

Fax(208) 367-3016

Organization SubpartYes

Authorized OfficialBrian Lannie CheckettsCfo And Board Member · (208) 367-2844

Enumeration DateOctober 17, 2006

Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration

NPPES CertifiedOctober 17, 2024

✔ NPI 1083794598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in ID · 2

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

1055 N CURTIS RD, Boise, ID 83706

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Other Names 1

Other NamePharmacy

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 Accreditation 13D0646352

St Alphonsus Regional Medical Center · Boise, ID

Active · expires Jan 2, 2027

CLIA Number13D0646352

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Leana A. Guerin

Laboratory Phone(208) 378-2156

Laboratory LocationSt Alphonsus Regional Medical Center1055 N Curtis Rd, Boise, ID 83706

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN IDAHO REGIONAL LABORATORY LLC

Clinical Medical Laboratory