WEPORT MEDICAL PHARMACY – NPI #1386599371
Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Health Care Provider Taxonomy Code for Pharmacy

WEPORT MEDICAL PHARMACY is a pharmacy located in BOISE, ID. NPPES has assigned the NPI number 1386599371 to WEPORT MEDICAL PHARMACY on March 04, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336L0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Long Term Care Pharmacy

The NPI profile was last updated on Mar 30, 2026. 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 WEPORT MEDICAL PHARMACY below.

NPI Profile for
WEPORT MEDICAL PHARMACY

NPI Number
1386599371
Enumeration Date

(about 3 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
WEPORT MEDICAL PHARMACY
Primary location
1220 S VISTA AVE STE A
BOISE, ID 83705-2530
Phone: (816) 405-2406 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KHALED ELDEMERDASH
MANAGING DIRECTOR
Phone: (816) 405-2406
Updated
Certification Date
Mar 30, 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
3336L0003X
- Pharmacy / Long Term Care Pharmacy (Primary)
3336M0002X
- Pharmacy / Mail Order Pharmacy
3336I0012X
- Pharmacy / Institutional Pharmacy
3336C0004X
- Pharmacy / Compounding Pharmacy

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.