Provider Type Icon

ST LUKES REGIONAL MEDICAL CENTER NPI 1609534221


NPI Information

NPI: 1609534221
Provider Name: ST LUKES REGIONAL MEDICAL CENTER

Doing Business As: ST LUKES PHARMACY - BOISE SPECIALTY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
11801 W EXECUTIVE DR
BOISE, ID
ZIP 83713
Phone: (208) 205-7779
Get Directions

ST LUKES REGIONAL MEDICAL CENTER is a specialty pharmacy pharmacy in Boise, ID. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. ST LUKES REGIONAL MEDICAL CENTER NPI is 1609534221. The provider is registered as an organization entity type.
The provider Is Doing Business As St Lukes Pharmacy - Boise Specialty.

The provider's business location address is:

11801 W EXECUTIVE DR
BOISE, ID
ZIP 83713-803
Phone: (208) 205-7779
Fax: (208) 205-7780

The provider's authorized official is Kelley Curtis .
The authorized official title is Chief Pharmacy Officer and has the following contact phone number (208) 493-2307.

The enumeration date for this NPI number is 12/1/2021 and was last updated on 12/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NPIMEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.