Idaho State University
NPI 1497194013 · Community/Retail Pharmacy · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho State University is a Community/Retail Pharmacy organization in Pocatello, ID (NPI 1497194013).
Provider details
- NPI number
- 1497194013
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rikki Trussel, Pharmacy Manager(208) 282-3407
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Other name
- Isu Bengal Pharmacy Pocatello
Registry dates
- Enumerated
- 2013-06-17
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Frequently asked questions
- What is Idaho State University's NPI number?
- Idaho State University's National Provider Identifier (NPI) is 1497194013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho State University?
- Idaho State University is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Idaho State University located?
- Idaho State University's practice location on file with NPPES is 990 S 8th Ave, Pocatello, ID 83201-4982.
- What is Idaho State University's phone number?
- The practice phone number listed in the NPPES registry for Idaho State University is (208) 282-3407.
- Does Idaho State University accept Medicare?
- Idaho State University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Idaho State University?
- The authorized official listed on Idaho State University's NPPES record is Rikki Trussel, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho State University's NPI active?
- Yes — Idaho State University's NPI (1497194013) is active in the NPPES registry as of the last update on 2022-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.