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

IDAHO STATE UNIVERSITY
NPI 1457060790
Clinic/Center - Health Service in Chubbuck, ID

Q: What is Idaho State University's NPI number?

The NPI number for Idaho State University is 1457060790. It was assigned to this organization in the NPPES registry on November 15, 2022. The provider is also known as ISU Pharmacist Clinic.

Q: What is Idaho State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since November 15, 2022

4914 YELLOWSTONE AVE STE B, CHUBBUCK, ID 83202(208) 282-2005 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Jun 14, 2023, Mar 10, 2023 and 1 more (4 updates tracked since 2022).

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About Idaho State University NPPES

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

IDAHO STATE UNIVERSITY (NPI 1457060790) is a healthcare organization registered as a health service in Chubbuck, Idaho and active in the NPI registry since November 2022. The organization lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1457060790

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameIDAHO STATE UNIVERSITY

Location Address4914 YELLOWSTONE AVE STE BChubbuck, ID 83202-2332

Mailing Address990 S 8th Ave Stop 8158Pocatello, ID 83201-4982 · (800) 627-4781

Phone(208) 282-2005

Organization SubpartNo

Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743

Enumeration DateNovember 15, 2022

Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1457060790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X

4914 YELLOWSTONE AVE STE B, Chubbuck, ID 83202

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Other Names 1

Other NameIsu Pharmacist Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Idaho State University's NPI number?

The NPI number for Idaho State University is 1457060790. It was assigned to this organization in the NPPES registry on November 15, 2022. The provider is also known as ISU Pharmacist Clinic.

Where is Idaho State University located?

Idaho State University is located at 4914 Yellowstone Ave Ste B, Chubbuck, ID 83202. The listed phone number is (208) 282-2005.

What is Idaho State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Idaho State University 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 32 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.