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DR. JERAMY RANDALL NEIBAUR PHARMD
NPI 1194219634
Pharmacist in Rexburg, ID

Active since June 19, 2018
167 W MAIN ST STE 1, REXBURG, ID 83440(208) 356-4481(208) 356-6915 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2026, Nov 9, 2022, Jun 19, 2018 (3 updates tracked since 2018).

About Dr. Jeramy Randall Neibaur Pharmd NPPES

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

DR. JERAMY RANDALL NEIBAUR PHARMD (NPI 1194219634) is an individual pharmacist in Rexburg, Idaho, licensed in Idaho (P8033) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1194219634
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JERAMY RANDALL NEIBAURCredential: PHARMD
Location Address167 W MAIN ST STE 1Rexburg, ID 83440-1826
Mailing Address167 W Main St Ste 1Rexburg, ID 83440-1826 · (208) 313-2816
Phone(208) 356-4481
Fax(208) 356-6915
Sole ProprietorYes
Enumeration DateJune 19, 2018
Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1194219634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P8033
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.

Also ListedPharmacist · Compounded Sterile PreparationsTaxonomy 1835C0207X · License P8033 (ID)
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License P8033 (ID)
167 W MAIN ST STE 1, Rexburg, ID 83440
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JERSHAN ENTERPRISES INC.
Pharmacy (Compounding Pharmacy)
167 W MAIN ST STE 1
REXBURG, ID 83440
Madison County (208) 356-4481

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 Jeramy Neibaur's NPI number?

The NPI number for Jeramy Neibaur is 1194219634. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Jeramy Neibaur located?

Jeramy Neibaur practices at 167 W Main St Ste 1, Rexburg, ID 83440. The listed phone number is (208) 356-4481.

What is Jeramy Neibaur'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 Jeramy Neibaur was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.