GEM STATE WELLNESS PHARMACY – NPI #1548112352
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

GEM STATE WELLNESS PHARMACY is a pharmacy located in TWIN FALLS, ID. NPPES has assigned the NPI number 1548112352 to GEM STATE WELLNESS PHARMACY on February 12, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

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 GEM STATE WELLNESS PHARMACY below.

NPI Profile for
GEM STATE WELLNESS PHARMACY

NPI Number
1548112352
Enumeration Date

(about 4 months 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
GEM STATE WELLNESS PHARMACY
Primary location
247 RIVER VISTA PL STE 101
TWIN FALLS, ID 83301-3019
Phone: (208) 329-8563 Fax: (208) 510-6627
Mailing address
1516 W BLUE DOWNS ST
MERIDIAN, ID 83642-8496
Phone: (208) 329-8563 Fax: (208) 510-6627
Organization Subpart
No
Authorized Official
LOGAN WEAVER
MANAGER/PHARMACIST
Phone: (208) 329-8563
Updated
Certification Date
Feb 12, 2026

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.

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
3336C0004X
- Pharmacy / Compounding 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.