OrganizationActive
Idaho State University
NPI 1730351081 · Clinic Pharmacy · Pocatello, ID
Idaho State University is a Clinic Pharmacy organization in Pocatello, ID (NPI 1730351081).
Provider details
- NPI number
- 1730351081
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gina Davis, Pharmacy Manager(208) 282-3407
- License
- 349CP (ID)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
990 South 8th
Pocatello, ID 83209
Phone: (208) 282-3407
Approximate (ZIP-level) locationGet directions
Mailing address
921 S 8th Ave Stop 8311
Pocatello, ID 83209-0002
Other names (DBA / former)
- Doing business as
- Idaho State University Student Health Center Pharmacy
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2012-02-03
Frequently asked questions
- What is Idaho State University's NPI number?
- Idaho State University's National Provider Identifier (NPI) is 1730351081, 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 Clinic Pharmacy (Suppliers).
- Where is Idaho State University located?
- Idaho State University's practice location on file with NPPES is 990 South 8th, Pocatello, ID 83209.
- 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.
- Who is the authorized official for Idaho State University?
- The authorized official listed on Idaho State University's NPPES record is Gina Davis, 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 (1730351081) is active in the NPPES registry as of the last update on 2012-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.