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STATE HOSPITAL SOUTH PHARMACY
NPI 1750442315
Pharmacy in Blackfoot, ID

Active since December 13, 2006
700 EAST ALICE STREET, BLACKFOOT, ID 83221(208) 785-1200(208) 785-8424 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Aug 29, 2017 (2 updates tracked since 2017).

About State Hospital South Pharmacy NPPES

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

STATE HOSPITAL SOUTH PHARMACY (NPI 1750442315) is a healthcare organization registered as a pharmacy in Blackfoot, Idaho and active in the NPI registry since December 2006. The organization lists Tracey G. Sessions, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1750442315
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSTATE OF IDAHO
Location Address700 EAST ALICE STREETBlackfoot, ID 83221
Mailing Address700 East Alice Street, Po Box 400Blackfoot, ID 83221 · (208) 785-1200 · Fax (208) 785-8424
Phone(208) 785-1200
Fax(208) 785-8424
Organization SubpartNo
Authorized OfficialTracey G. SessionsAdministrative Director · (208) 785-8406
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1750442315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in ID · 462HP
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 462HP (ID)
700 EAST ALICE STREET, Blackfoot, ID 83221
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Other Names 1

Other NameState Hospital South Pharmacy

Other Identifiers 3

Medicaid002835700ID
Other1302772ID · Nabp & Ncpdp
Medicaid002825500ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee and more.Insurance ›

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.

DR. BRADY J DOWDING PHARM.D. RPH
Pharmacist
700 EAST ALICE STREET, STATE HOSPITAL SOUTH PHARMACY
BLACKFOOT, ID 83221
Bingham County (208) 785-8446
DR. KELLY PAGE PALMER D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 EAST ALICE STREET
BLACKFOOT, ID 83221
Bingham County (208) 785-8517

Frequently Asked Questions

What is STATE OF IDAHO's NPI number?

The NPI number assigned to this healthcare provider is 1750442315, enumerated as an "organization" on December 13, 2006.

Where is the provider located?

The provider is located at 700 EAST ALICE STREET BLACKFOOT, ID 83221 and the phone number is (208) 785-1200.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.

What insurance does STATE OF IDAHO accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.