MATTHEW BOLEN
NPI 1114735818
Pharmacist in Star, ID

Active since December 27, 2024
145 S PLUMMER RD, STAR, ID 83669(208) 286-0906 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Bolen NPPES

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

MATTHEW BOLEN (NPI 1114735818) is an individual pharmacist in Star, Idaho, licensed in Idaho (P11047) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1114735818
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMATTHEW BOLEN
Location Address145 S PLUMMER RDStar, ID 83669-6199
Mailing Address11714 W Silver City StBoise, ID 83713-7859 · (208) 473-8835
Sole ProprietorNo
Enumeration DateDecember 27, 2024
NPPES CertifiedDecember 26, 2024
NPI 1114735818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P11047
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
145 S PLUMMER RD, Star, ID 83669

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
145 S PLUMMER RD
STAR, ID 83669

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 Matthew Bolen's NPI number?

The NPI number for Matthew Bolen is 1114735818. It was assigned to this individual provider in the NPPES registry on December 27, 2024.

Where is Matthew Bolen located?

Matthew Bolen practices at 145 S Plummer Rd, Star, ID 83669. The listed phone number is (208) 286-0906.

What is Matthew Bolen's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Matthew Bolen was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.