IDAHO STATE UNIVERSITY – NPI #1497194013
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Health Care Provider Taxonomy Code for Pharmacy

IDAHO STATE UNIVERSITY is a pharmacy located in POCATELLO, ID. NPPES has assigned the NPI number 1497194013 to IDAHO STATE UNIVERSITY on June 17, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. IDAHO STATE UNIVERSITY is also known by the name ISU BENGAL PHARMACY POCATELLO. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 4 years ago on Apr 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDAHO STATE UNIVERSITY below.

NPI Profile for
IDAHO STATE UNIVERSITY

NPI Number
1497194013
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDAHO STATE UNIVERSITY
Other Name: ISU BENGAL PHARMACY POCATELLO
Primary location
990 S 8TH AVE
POCATELLO, ID 83201-4982
Phone: (208) 282-3407 Fax: (208) 282-6150
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RIKKI TRUSSEL
PHARMACY MANAGER
Phone: (208) 282-3407
Updated
Certification Date
Apr 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IDAHO STATE UNIVERSITY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID1497194013
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.