OrganizationActive
Compound Preferred LLC
NPI 1316558521 · Compounding Pharmacy · Idaho Falls, ID
Provider details
- NPI number
- 1316558521
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Reece Christensen, President / Ceo(208) 497-3575
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1125 Hollipark Dr
Idaho Falls, ID 83401-5806
Phone: (208) 419-0613
Street-level locationGet directions
Mailing address
1790 Sabin Dr
Ammon, ID 83406-6747
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.