OrganizationActive
Innovative Care Pharmacy
NPI 1528055324 · Long Term Care Pharmacy · Boise, ID
Innovative Care Pharmacy is a Long Term Care Pharmacy organization in Boise, ID (NPI 1528055324).
Provider details
- NPI number
- 1528055324
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brad Lanham, President/Ceo(817) 328-6421
- License
- 2304LS (ID)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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 E Emerald St
Ste 110
Boise, ID 83704
Phone: (208) 323-1259
Fax: (208) 323-5666
Street-level locationGet directions
Mailing address
9196 E Emerald St
Boise, ID 83704
Other names (DBA / former)
- Doing business as
- Innovative Care Pharmacy LLC
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2013-05-07
Frequently asked questions
- What is Innovative Care Pharmacy's NPI number?
- Innovative Care Pharmacy's National Provider Identifier (NPI) is 1528055324, 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 Long Term Care Pharmacy (Suppliers).
- Where is Innovative Care Pharmacy located?
- Innovative Care Pharmacy's practice location on file with NPPES is 9196 E Emerald St, Boise, ID 83704.
- 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 Brad Lanham, President/Ceo. 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 (1528055324) is active in the NPPES registry as of the last update on 2013-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.