KHALED ELDEMERDASH RPH
NPI 1568206423
Pharmacist in Boise, ID

Q: What is Khaled Eldemerdash's NPI number?

The NPI number for Khaled Eldemerdash is 1568206423. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Q: What is Khaled Eldemerdash's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since June 24, 2024

1220 S VISTA AVE STE A, BOISE, ID 83705(816) 405-2406 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 28, 2026, Jun 24, 2024 (2 updates tracked since 2024).

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About Khaled Eldemerdash Rph NPPES

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

KHALED ELDEMERDASH RPH (NPI 1568206423) is an individual pharmacist in Boise, Idaho, licensed in California (89376) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1568206423

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameKHALED ELDEMERDASHCredential: RPH

Location Address1220 S VISTA AVE STE ABoise, ID 83705-2530

Mailing AddressPo Box 934Camarillo, CA 93011-0934

Phone(816) 405-2406

Sole ProprietorYes

Enumeration DateJune 24, 2024

Last NPPES UpdateMarch 28, 20262 updates tracked since enumeration

NPPES CertifiedMarch 28, 2026

✔ NPI 1568206423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in CA · 89376✔ Licensed in ID · 9561972

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.

1220 S VISTA AVE STE A, Boise, ID 83705

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Other Providers at the Same Location NPPES

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

WEPORT MEDICAL PHARMACY

Pharmacy (Long Term Care Pharmacy)

1220 S VISTA AVE STE A
BOISE, ID 83705

Ada County (816) 405-2406

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 Khaled Eldemerdash's NPI number?

The NPI number for Khaled Eldemerdash is 1568206423. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Khaled Eldemerdash located?

Khaled Eldemerdash practices at 1220 S Vista Ave Ste A, Boise, ID 83705. The listed phone number is (816) 405-2406.

What is Khaled Eldemerdash'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 Khaled Eldemerdash was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.