Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LIFEFILL I, LLC
NPI 1225959968
Pharmacy in Boise, ID

Active since July 21, 2026
12639 W EXPLORER DR STE 125, BOISE, ID 83713(208) 247-2990 Get Directions Write a Review

NPPES record added: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lifefill I, Llc NPPES

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

LIFEFILL I, LLC (NPI 1225959968) is a healthcare organization registered as a pharmacy in Boise, Idaho and active in the NPI registry since July 2026. The organization lists Michael Nameth, Evp, Cloud And Specialty Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1225959968
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLIFEFILL I, LLC
Location Address12639 W EXPLORER DR STE 125Boise, ID 83713-1887
Mailing Address1407 Broadway Rm 1910New York, NY 10018-2874
Organization SubpartNo
Authorized OfficialMichael NamethEvp, Cloud And Specialty Pharmacy · (646) 201-9585
Enumeration DateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
NPI 1225959968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.

12639 W EXPLORER DR STE 125, Boise, ID 83713

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 Lifefill I, LLC's NPI number?

The NPI number for Lifefill I, LLC is 1225959968. It was assigned to this organization in the NPPES registry on July 21, 2026.

Where is Lifefill I, LLC located?

Lifefill I, LLC is located at 12639 W Explorer Dr Ste 125, Boise, ID 83713. The listed phone number is (208) 247-2990.

What is Lifefill I, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifefill I, LLC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.