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INNOVATIVE CARE PHARMACY LLC
NPI 1407966229
Pharmacy - Community/Retail Pharmacy in Boise, ID

Active since August 30, 2006
9196 W EMERALD ST, STE 110, BOISE, ID 83704(208) 323-1259(208) 323-8934 Get Directions Write a Review

NPPES record last updated: September 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Care Pharmacy Llc NPPES

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

INNOVATIVE CARE PHARMACY LLC (NPI 1407966229) is a healthcare organization registered as a community/retail pharmacy in Boise, Idaho and active in the NPI registry since August 2006. The organization lists Sheila Moore, Vp Purchasing, as its authorized official.

NPPES Registry Identity

NPI1407966229
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINNOVATIVE CARE PHARMACY
Location Address9196 W EMERALD ST, STE 110Boise, ID 83704-0679
Mailing Address9196 W Emerald St, Ste 110Boise, ID 83704-0679 · (208) 323-1259 · Fax (208) 323-8934
Phone(208) 323-1259
Fax(208) 323-8934
Organization SubpartNo
Authorized OfficialSheila MooreVp Purchasing · (817) 552-7630
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 25, 2009
✔ NPI 1407966229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ID · 2303CP
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
9196 W EMERALD ST, Boise, ID 83704
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Other Names 1

Doing Business AsInnovative Care Pharmacy Llc

Other Identifiers 3

Other1307619Ncpdp Provider Identification Number
Medicare NSC5105980001
Medicaid806967700ID

Other Providers at the Same Location NPPES 5

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

DAVID LYN HARRISON
Pharmacist
9196 W EMERALD ST, SUITE 110
BOISE, ID 83704
Ada County (208) 323-1259
GEORGE W DRASHNER RPH
Pharmacist
9196 W EMERALD ST, SUITE 110
BOISE, ID 83704
Ada County (208) 323-1259
VETERANS PHARMA INCORPORATED
Pharmacy
9196 W EMERALD ST, SUITE 110
BOISE, ID 83704
Ada County (208) 323-1259
MAGGIE BENEDETTI LMSW
Social Worker
9196 W EMERALD ST, STE. 135
BOISE, ID 83704
Ada County (208) 323-4400
TALIA JOANN ESPLIN LPC
Counselor (Mental Health)
9196 W EMERALD ST
BOISE, ID 83704
Ada County (208) 323-4400

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 Innovative Care Pharmacy's NPI number?

The NPI number for Innovative Care Pharmacy is 1407966229. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Innovative Care Pharmacy LLC.

Where is Innovative Care Pharmacy located?

Innovative Care Pharmacy is located at 9196 W Emerald St Ste 110, Boise, ID 83704. The listed phone number is (208) 323-1259.

What is Innovative Care Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Innovative Care Pharmacy was last updated on September 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.