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INNOVATIVE CARE PHARMACY LLC
NPI 1528055324
Pharmacy - Long Term Care Pharmacy in Boise, ID

Active since October 05, 2005
9196 E EMERALD ST, STE 110, BOISE, ID 83704(208) 323-1259(208) 323-5666 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 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 1528055324) is a healthcare organization registered as a long term care pharmacy in Boise, Idaho and active in the NPI registry since October 2005. The organization lists Brad Lanham, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1528055324
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameINNOVATIVE CARE PHARMACY
Location Address9196 E EMERALD ST, STE 110Boise, ID 83704
Mailing Address9196 E Emerald St, Ste 110Boise, ID 83704 · (208) 323-1259 · Fax (208) 323-8934
Phone(208) 323-1259
Fax(208) 323-5666
Organization SubpartNo
Authorized OfficialBrad LanhamPresident/ceo · (817) 328-6421
Enumeration DateOctober 5, 2005
Last NPPES UpdateMay 7, 2013
✔ NPI 1528055324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in ID · 2304LS
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
9196 E EMERALD ST, Boise, ID 83704
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Other Names 1

Doing Business AsInnovative Care Pharmacy Llc

Other Identifiers 3

Medicare NSC6267120001
Medicaid80668600ID
Other2021877Pk

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 1528055324. It was assigned to this organization in the NPPES registry on October 5, 2005. The provider is doing business as Innovative Care Pharmacy LLC.

Where is Innovative Care Pharmacy located?

Innovative Care Pharmacy is located at 9196 E 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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Innovative Care Pharmacy was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.