PURE PATH COMPOUNDING PHARMACY LLC NPI 1033917810

NPI Information

  • NPI: 1033917810
  • Provider Name: PURE PATH COMPOUNDING PHARMACY LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Address: 2141 W AIRPORT WAY STE 700
    BOISE, ID
    ZIP 83705
  • Phone: (208) 985-3575

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NPI Details

PURE PATH COMPOUNDING PHARMACY LLC is a compounding pharmacy pharmacy in Boise, ID. The provider is 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. PURE PATH COMPOUNDING PHARMACY LLC NPI is 1033917810. The provider is registered as an organization entity type.

The provider's business location address is:

2141 W AIRPORT WAY STE 700
BOISE, ID
ZIP 83705-168
Phone: (208) 985-3575

The provider's authorized official is Kevin Crumley .
The authorized official title is Operations Manager and has the following contact phone number (208) 985-3575.

The enumeration date for this NPI number is 3/6/2025 and was last updated on 3/24/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0004XPharmacyCompounding PharmacyYes
23336H0001XPharmacyHome Infusion Therapy PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo

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: 11/21/2025

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