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MODERN COMPOUNDING PHARMACY
NPI 1891830550
Pharmacy - Compounding Pharmacy in Montpelier, ID

Active since February 20, 2007
762 WASHINGTON ST, MONTPELIER, ID 83254(208) 847-0060(208) 847-0090 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Compounding Pharmacy NPPES

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

MODERN COMPOUNDING PHARMACY (NPI 1891830550) is a healthcare organization registered as a compounding pharmacy in Montpelier, Idaho and active in the NPI registry since February 2007. The organization lists Harold A Olson, President, as its authorized official.

NPPES Registry Identity

NPI1891830550
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameMODERN COMPOUNDING PHARMACY
Location Address762 WASHINGTON STMontpelier, ID 83254-1422
Mailing Address762 Washington StMontpelier, ID 83254-1422 · (208) 847-0060 · Fax (208) 847-0090
Phone(208) 847-0060
Fax(208) 847-0090
Organization SubpartNo
Authorized OfficialHarold A OlsonPresident · (208) 847-0060
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891830550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in ID · 1661LS
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
762 WASHINGTON ST, Montpelier, ID 83254
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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.

OLSON'S MODERN DRUG CO.
Pharmacy (Community/Retail Pharmacy)
762 WASHINGTON ST
MONTPELIER, ID 83254
Bear Lake County (208) 847-0536

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 Modern Compounding Pharmacy's NPI number?

The NPI number for Modern Compounding Pharmacy is 1891830550. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Modern Compounding Pharmacy located?

Modern Compounding Pharmacy is located at 762 Washington St, Montpelier, ID 83254. The listed phone number is (208) 847-0060.

What is Modern Compounding Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Modern Compounding Pharmacy was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.