OrganizationActive
Teton Clinical Pharmacy, Inc.
NPI 1043629397 · Community/Retail Pharmacy · Idaho Falls, ID
Teton Clinical Pharmacy, Inc. is a Community/Retail Pharmacy organization in Idaho Falls, ID (NPI 1043629397).
Provider details
- NPI number
- 1043629397
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Teton Clinical Pharmacy, Inc.
- Organization subpart
- Yes
- Authorized official
- Philip Harper, Owner(208) 360-1317
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1855 W Broadway St
Idaho Falls, ID 83402-3043
Phone: (208) 529-3638
Fax: (208) 529-1715
Street-level locationGet directions
Mailing address
1855 W Broadway St
Idaho Falls, ID 83402-3043
Other names (DBA / former)
- Doing business as
- Teton Pharmacy on Broadway
- Doing business as
- Teton Pharmacy on Broadway
Registry dates
- Enumerated
- 2014-08-11
- Last updated
- 2019-05-03
Frequently asked questions
- What is Teton Clinical Pharmacy, Inc.'s NPI number?
- Teton Clinical Pharmacy, Inc.'s National Provider Identifier (NPI) is 1043629397, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Clinical Pharmacy, Inc.?
- Teton Clinical Pharmacy, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Teton Clinical Pharmacy, Inc. located?
- Teton Clinical Pharmacy, Inc.'s practice location on file with NPPES is 1855 W Broadway St, Idaho Falls, ID 83402-3043.
- What is Teton Clinical Pharmacy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Teton Clinical Pharmacy, Inc. is (208) 529-3638.
- Who is the authorized official for Teton Clinical Pharmacy, Inc.?
- The authorized official listed on Teton Clinical Pharmacy, Inc.'s NPPES record is Philip Harper, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Clinical Pharmacy, Inc.'s NPI active?
- Yes — Teton Clinical Pharmacy, Inc.'s NPI (1043629397) is active in the NPPES registry as of the last update on 2019-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.