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BLAINE L WILDING PHARMD
NPI 1942579404
Pharmacist in Shelley, ID

Active since December 29, 2011
570 S STATE ST, SHELLEY, ID 83274(208) 357-0473 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blaine L Wilding Pharmd NPPES

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

BLAINE L WILDING PHARMD (NPI 1942579404) is an individual pharmacist in Shelley, Idaho, licensed in Idaho (P4789) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1942579404
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBLAINE L WILDINGCredential: PHARMD
Location Address570 S STATE STShelley, ID 83274-1470
Mailing Address570 S State StShelley, ID 83274-1470 · (208) 357-0473
Phone(208) 357-0473
Sole ProprietorNo
Enumeration DateDecember 29, 2011
✔ NPI 1942579404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P4789
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.
570 S STATE ST, Shelley, ID 83274
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Other Providers at the Same Location NPPES 4

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

BROULIM SUPERMARKETS, LLC
Pharmacy (Community/Retail Pharmacy)
570 S STATE ST
SHELLEY, ID 83274
Bingham County (208) 357-0473
NATHAN BOLANDER
Pharmacist
570 S STATE ST
SHELLEY, ID 83274
Bingham County (208) 357-0473
TIMOTHY ELRAY ALLEN PHARM D
Pharmacist
570 S STATE ST
SHELLEY, ID 83274
Bingham County (208) 357-0473
DR. DANIEL SCHAUWECKER PHARMD
Pharmacist
570 S STATE ST
SHELLEY, ID 83274
Bingham County (208) 357-0495

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 Blaine Wilding's NPI number?

The NPI number for Blaine Wilding is 1942579404. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Blaine Wilding located?

Blaine Wilding practices at 570 S State St, Shelley, ID 83274. The listed phone number is (208) 357-0473.

What is Blaine Wilding'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 Blaine Wilding was last updated on December 29, 2011. 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.