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BEAR LAKE DRUG L.L.C.
NPI 1861806820
Pharmacy - Community/Retail Pharmacy in Montpelier, ID

Active since June 18, 2014CLIA 13D2140172 · Waiver
836 WASHINGTON ST, MONTPELIER, ID 83254(208) 847-1421(208) 847-1690 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2017, Aug 15, 2016 (2 updates tracked since 2016).

About Bear Lake Drug L.l.c. NPPES

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

BEAR LAKE DRUG L.L.C. (NPI 1861806820) is a healthcare organization registered as a community/retail pharmacy in Montpelier, Idaho and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Casey Humpherys, Pharmd, as its authorized official.

NPPES Registry Identity

NPI1861806820
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBEAR LAKE DRUG LLC
Location Address836 WASHINGTON STMontpelier, ID 83254-1423
Mailing Address836 Washington StMontpelier, ID 83254-1423 · (208) 847-1421 · Fax (208) 847-1690
Phone(208) 847-1421
Fax(208) 847-1690
Organization SubpartNo
Authorized OfficialCasey HumpherysPharmd · (208) 847-1421
Enumeration DateJune 18, 2014
Last NPPES UpdateJanuary 18, 20172 updates tracked since enumeration
✔ NPI 1861806820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ID · 1440RP
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
836 WASHINGTON ST, Montpelier, ID 83254
Open in Google Maps ↗

Other Names 1

Doing Business AsBear Lake Drug L.l.c.

Other Identifiers 2

Medicare NSC7437950001
Other2147038Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2140172

Bear Lake Drug LLC · Montpelier, ID
Active · expires May 11, 2027
CLIA Number13D2140172
Laboratory TypePharmacy
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorCasey C. Humpherys
Laboratory Phone(208) 847-1421
Laboratory LocationBear Lake Drug LLC836 Washington St, Montpelier, ID 83254
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Bear Lake Drug LLC carries, from the Medicare DMEPOS supplier directory.

Bear Lake Drug LLC

DMEPOS supplier · Montpelier, ID
✔

Accepts Medicare assignment

Bear Lake Drug LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20486927
Medicare Participant SinceNovember 3, 2014
Supplier Location836 Washington StMontpelier, ID 83254
Phone(208) 847-1421
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

CASEY HUMPHERYS
Pharmacist
836 WASHINGTON ST
MONTPELIER, ID 83254
Bear Lake County (208) 847-1421
DEAN A WALLENTINE PHARM D.
Pharmacist
836 WASHINGTON ST
MONTPELIER, ID 83254
Bear Lake County (208) 847-1421

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 Bear Lake Drug LLC's NPI number?

The NPI number for Bear Lake Drug LLC is 1861806820. It was assigned to this organization in the NPPES registry on June 18, 2014. The provider is doing business as Bear Lake Drug L.L.C..

Where is Bear Lake Drug LLC located?

Bear Lake Drug LLC is located at 836 Washington St, Montpelier, ID 83254. The listed phone number is (208) 847-1421.

What is Bear Lake Drug LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Bear Lake Drug LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bear Lake Drug LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Bear Lake Drug LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2140172) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bear Lake Drug LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Bear Lake Drug LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bear Lake Drug LLC was last updated on January 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.