OrganizationActive
Community Council of Idaho, Inc
NPI 1215663802 · Community/Retail Pharmacy · Blackfoot, ID
Community Council of Idaho, Inc is a Community/Retail Pharmacy organization in Blackfoot, ID (NPI 1215663802).
Provider details
- NPI number
- 1215663802
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Community Council of Idaho, Inc
- Organization subpart
- Yes
- Authorized official
- Troy Coulson, Pharmacy Director(208) 470-7979
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1491 Parkway Dr
Blackfoot, ID 83221-1667
Phone: (208) 435-2379
Fax: (833) 726-1877
Street-level locationGet directions
Mailing address
2100 Alan St
Idaho Falls, ID 83404-5801
Other names (DBA / former)
- Doing business as
- Community Family Clinic Pharmacy
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Frequently asked questions
- What is Community Council of Idaho, Inc's NPI number?
- Community Council of Idaho, Inc's National Provider Identifier (NPI) is 1215663802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Council of Idaho, Inc?
- Community Council of Idaho, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Community Council of Idaho, Inc located?
- Community Council of Idaho, Inc's practice location on file with NPPES is 1491 Parkway Dr, Blackfoot, ID 83221-1667.
- What is Community Council of Idaho, Inc's phone number?
- The practice phone number listed in the NPPES registry for Community Council of Idaho, Inc is (208) 435-2379.
- Who is the authorized official for Community Council of Idaho, Inc?
- The authorized official listed on Community Council of Idaho, Inc's NPPES record is Troy Coulson, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Council of Idaho, Inc's NPI active?
- Yes — Community Council of Idaho, Inc's NPI (1215663802) is active in the NPPES registry as of the last update on 2023-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.