SQUAD PHARMACY
NPI 1245048503
Pharmacy in Boise, ID

Q: What is Squad Pharmacy's NPI number?

The NPI number for Squad Pharmacy is 1245048503. It was assigned to this organization in the NPPES registry on December 19, 2024.

Q: What is Squad Pharmacy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Squad Pharmacy was last updated on December 19, 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.

Active since December 19, 2024

202 N 9TH ST, BOISE, ID 83702(208) 417-5249 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Squad Pharmacy NPPES

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

SQUAD PHARMACY (NPI 1245048503) is a healthcare organization registered as a pharmacy in Boise, Idaho and active in the NPI registry since December 2024. The organization lists Mallika Khandelwal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245048503

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSQUAD PHARMACY

Location Address202 N 9TH STBoise, ID 83702-5734

Mailing Address1107 Broadway Apt 4cNew York, NY 10010-0007 · (610) 955-2633

Phone(208) 417-5249

Organization SubpartNo

Authorized OfficialMallika KhandelwalCeo · (610) 955-2633

Enumeration DateDecember 19, 2024

NPPES CertifiedDecember 19, 2024

✔ NPI 1245048503 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.

202 N 9TH ST, Boise, ID 83702

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Other Providers at the Same Location NPPES 2

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

TAYLER GONZALES

Social Worker (Clinical)

202 N 9TH ST
BOISE, ID 83702

Ada County (208) 495-4358

MR. GREGORY LEE SUTTON LPC

Counselor (Professional)

202 N 9TH ST, 303C
BOISE, ID 83702

Ada County (208) 559-5666

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 Squad Pharmacy's NPI number?

The NPI number for Squad Pharmacy is 1245048503. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Squad Pharmacy located?

Squad Pharmacy is located at 202 N 9th St, Boise, ID 83702. The listed phone number is (208) 417-5249.

What is Squad Pharmacy'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 Squad Pharmacy was last updated on December 19, 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.