IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY
NPI 1730351081
Pharmacy - Clinic Pharmacy in Pocatello, ID

Active since March 27, 2008
990 SOUTH 8TH, POCATELLO, ID 83209(208) 282-3407 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaho State University Student Health Center Pharmacy NPPES

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

IDAHO STATE UNIVERSITY STUDENT HEALTH CENTER PHARMACY (NPI 1730351081) is a healthcare organization registered as a clinic pharmacy in Pocatello, Idaho and active in the NPI registry since March 2008. The organization lists Gina Davis, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1730351081
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameIDAHO STATE UNIVERSITY
Location Address990 SOUTH 8THPocatello, ID 83209
Mailing Address921 S 8th Ave Stop 8311Pocatello, ID 83209-0002 · (208) 282-3407
Organization SubpartNo
Authorized OfficialGina DavisPharmacy Manager · (208) 282-3407
Enumeration DateMarch 27, 2008
Last NPPES UpdateFebruary 3, 2012
NPI 1730351081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in ID · 349CP
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
990 SOUTH 8TH, Pocatello, ID 83209

Other Names 1

Doing Business AsIdaho State University Student Health Center Pharmacy

Other Identifiers 1

Other1307974Ncpdp Provider Identification Number

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 1730351081. It was assigned to this organization in the NPPES registry on March 27, 2008. The provider is doing business as Idaho State University Student Health Center Pharmacy.

Where is Idaho State University located?

Idaho State University is located at 990 South 8th, Pocatello, ID 83209. The listed phone number is (208) 282-3407.

What is Idaho State University's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Idaho State University was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.