1. Home
  2. Directory
  3. Idaho
  4. Rexburg
  5. Pharmacist
  6. NPI Profile

SHANE ELLIS WITHERS RPH
NPI 1952956906
Pharmacist in Rexburg, ID

Active since August 06, 2019
164 E. MAIN, REXBURG, ID 83440(208) 227-5076 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Ellis Withers Rph NPPES

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

SHANE ELLIS WITHERS RPH (NPI 1952956906) is an individual pharmacist in Rexburg, Idaho, licensed in Idaho (P8493) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1952956906
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSHANE ELLIS WITHERSCredential: RPH
Location Address164 E. MAINRexburg, ID 83440
Mailing Address4482 West 1000 NorthRexburg, ID 83440 · (208) 313-1736
Phone(208) 227-5076
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateNovember 27, 2023
✔ NPI 1952956906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P8493
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.
164 E. MAIN, Rexburg, ID 83440
Open in Google Maps ↗

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 Shane Withers's NPI number?

The NPI number for Shane Withers is 1952956906. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Shane Withers located?

Shane Withers practices at 164 E. Main, Rexburg, ID 83440. The listed phone number is (208) 227-5076.

What is Shane Withers'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 Shane Withers was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.