Sandpoint Super Drug Clinical
NPI 1104584739 · Family Medicine Physician · Sandpoint, ID
Sandpoint Super Drug Clinical is a Family Medicine Physician organization in Sandpoint, ID (NPI 1104584739).
Provider details
- NPI number
- 1104584739
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scott Porter, Authorized Official(208) 263-1408
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Other name
- Sandpoint Super Drug Clinical Services
- Other name
- Sandpoint Super Drug Clinical Services
Registry dates
- Enumerated
- 2021-12-01
- Last updated
- 2022-03-24
- Certified
- 2022-03-24
Frequently asked questions
- What is Sandpoint Super Drug Clinical's NPI number?
- Sandpoint Super Drug Clinical's National Provider Identifier (NPI) is 1104584739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sandpoint Super Drug Clinical?
- Sandpoint Super Drug Clinical is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sandpoint Super Drug Clinical located?
- Sandpoint Super Drug Clinical's practice location on file with NPPES is 604 N Fifth Ave, Sandpoint, ID 83864-1520.
- What is Sandpoint Super Drug Clinical's phone number?
- The practice phone number listed in the NPPES registry for Sandpoint Super Drug Clinical is (208) 263-1408.
- Who is the authorized official for Sandpoint Super Drug Clinical?
- The authorized official listed on Sandpoint Super Drug Clinical's NPPES record is Scott Porter, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sandpoint Super Drug Clinical's NPI active?
- Yes — Sandpoint Super Drug Clinical's NPI (1104584739) is active in the NPPES registry as of the last update on 2022-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.