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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRACY LYNN BIDEGANETA RPH
NPI 1215910229
Pharmacist in Mountain Home, ID

Active since November 22, 2005
270 N 2ND E, MOUNTAIN HOME, ID 83647(208) 587-3346(208) 587-2052 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Lynn Bideganeta Rph NPPES

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

TRACY LYNN BIDEGANETA RPH (NPI 1215910229) is an individual pharmacist in Mountain Home, Idaho, licensed in Idaho (P4566) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1215910229
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTRACY LYNN BIDEGANETACredential: RPH
Location Address270 N 2ND EMountain Home, ID 83647-2725
Mailing Address270 N 2nd EMountain Home, ID 83647-2725 · (208) 587-2368 · Fax (208) 587-2052
Phone(208) 587-3346
Fax(208) 587-2052
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1215910229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P4566
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.
270 N 2ND E, Mountain Home, ID 83647
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Other Names 1

Former Name (1)Tracy Lynn Cantrell Rph

Other Providers at the Same Location NPPES

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

JAMES ALEXANDER RPH
Pharmacist
270 N 2ND E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-3346

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 Tracy Bideganeta's NPI number?

The NPI number for Tracy Bideganeta is 1215910229. It was assigned to this individual provider in the NPPES registry on November 22, 2005. The provider is also known as Tracy Lynn Cantrell Rph.

Where is Tracy Bideganeta located?

Tracy Bideganeta practices at 270 N 2nd E, Mountain Home, ID 83647. The listed phone number is (208) 587-3346.

What is Tracy Bideganeta'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 Tracy Bideganeta was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.