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Jershan Enterprises Inc. — NPI 1477400448, Rexburg, ID | NPI Central

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NPI 1477400448

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

Compounding PharmacyPrimary3336C0004X
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

More ID providers

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.