OrganizationActive
Jershan Enterprises Inc.
NPI 1477400448 · Compounding Pharmacy · Rexburg, ID
Provider details
- NPI number
- 1477400448
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jeramy Neibaur, President(208) 356-4481
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
167 W Main St Ste 1
Rexburg, ID 83440-1826
Phone: (208) 356-4481
Approximate (ZIP-level) locationGet directions
Mailing address
167 W Main St Ste 1
Rexburg, ID 83440-1826
Registry dates
- Enumerated
- 2026-03-11
- Last updated
- 2026-05-03
- Certified
- 2026-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.