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SHANE OLIVER WITHERS JR. PHARMD, BCPS
NPI 1336790567
Pharmacist in Idaho Falls, ID

Active since September 29, 2019
2495 E LINCOLN RD, IDAHO FALLS, ID 83401(986) 497-3149 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2022, Sep 29, 2019 (2 updates tracked since 2019).

About Shane Oliver Withers Jr. Pharmd, Bcps NPPES

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

SHANE OLIVER WITHERS JR. PHARMD, BCPS (NPI 1336790567) is an individual pharmacist in Idaho Falls, Idaho, licensed in Idaho (P8466) and active in the NPI registry since September 2019. He maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1336790567
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSHANE OLIVER WITHERS JR.Credential: PHARMD, BCPS
Location Address2495 E LINCOLN RDIdaho Falls, ID 83401-2203
Mailing Address933 E Elva StIdaho Falls, ID 83401-2164 · (208) 313-4336
Phone(986) 497-3149
Sole ProprietorYes
Enumeration DateSeptember 29, 2019
Last NPPES UpdateApril 10, 20222 updates tracked since enumeration
NPPES CertifiedApril 10, 2022
✔ NPI 1336790567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P8466
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.
2495 E LINCOLN RD, Idaho Falls, ID 83401
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Secondary Practice Location 1

Location 1933 E Elva StIdaho Falls, ID 83401-2164 · Phone (208) 313-4336

Other Providers at the Same Location NPPES 3

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

COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
2495 E LINCOLN RD
IDAHO FALLS, ID 83401
Bonneville County (986) 497-3159
COSTCO WHOLESALE CORPORATION
Eyewear Supplier
2495 E LINCOLN RD
IDAHO FALLS, ID 83401
Bonneville County (425) 313-6504
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
2495 E LINCOLN RD
IDAHO FALLS, ID 83401
Bonneville County (425) 313-6504

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 Shane Withers's NPI number?

The NPI number for Shane Withers is 1336790567. It was assigned to this individual provider in the NPPES registry on September 29, 2019.

Where is Shane Withers located?

Shane Withers practices at 2495 E Lincoln Rd, Idaho Falls, ID 83401. The listed phone number is (986) 497-3149.

What is Shane Withers'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 Shane Withers was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.