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MR. NEIL TETSUO KOMODA PHARMACIST
NPI 1467517201
Pharmacist in Idaho Falls, ID

Active since December 22, 2006
2425 CHANNING WAY, IDAHO FALLS, ID 83404(208) 523-2277(208) 552-1246 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Neil Tetsuo Komoda Pharmacist NPPES

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

MR. NEIL TETSUO KOMODA PHARMACIST (NPI 1467517201) is an individual pharmacist in Idaho Falls, Idaho, licensed in Idaho (P3674) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1467517201
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. NEIL TETSUO KOMODACredential: PHARMACIST
Location Address2425 CHANNING WAYIdaho Falls, ID 83404-8059
Mailing Address2425 Channing WayIdaho Falls, ID 83404-8059 · (208) 523-2277 · Fax (208) 552-1246
Phone(208) 523-2277
Fax(208) 552-1246
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467517201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P3674
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.
2425 CHANNING WAY, Idaho Falls, ID 83404
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Other Identifiers 2

Medicare ID-Type Unspecified5386640001
Other421CPID · License

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.

ALPINE HOME MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2425 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-8627
B AND B DRUG INC
Pharmacy (Community/Retail Pharmacy)
2425 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 523-2277

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 Neil Komoda's NPI number?

The NPI number for Neil Komoda is 1467517201. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Neil Komoda located?

Neil Komoda practices at 2425 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 523-2277.

What is Neil Komoda'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 Neil Komoda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.