OrganizationActive
Innovative Care Pharmacy
NPI 1407966229 · Community/Retail Pharmacy · Boise, ID
Innovative Care Pharmacy is a Community/Retail Pharmacy organization in Boise, ID (NPI 1407966229).
Provider details
- NPI number
- 1407966229
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sheila Moore, Vp Purchasing(817) 552-7630
- License
- 2303CP (ID)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9196 W Emerald St
Ste 110
Boise, ID 83704-0679
Phone: (208) 323-1259
Fax: (208) 323-8934
Street-level locationGet directions
Mailing address
9196 W Emerald St
Boise, ID 83704-0679
Other names (DBA / former)
- Doing business as
- Innovative Care Pharmacy LLC
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2009-09-25
Frequently asked questions
- What is Innovative Care Pharmacy's NPI number?
- Innovative Care Pharmacy's National Provider Identifier (NPI) is 1407966229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Care Pharmacy?
- Innovative Care Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Innovative Care Pharmacy located?
- Innovative Care Pharmacy's practice location on file with NPPES is 9196 W Emerald St, Boise, ID 83704-0679.
- What is Innovative Care Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Innovative Care Pharmacy is (208) 323-1259.
- Who is the authorized official for Innovative Care Pharmacy?
- The authorized official listed on Innovative Care Pharmacy's NPPES record is Sheila Moore, Vp Purchasing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Care Pharmacy's NPI active?
- Yes — Innovative Care Pharmacy's NPI (1407966229) is active in the NPPES registry as of the last update on 2009-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.