OrganizationActive
Idaho State University
NPI 1740964295 · Community/Retail Pharmacy · Chubbuck, ID
Idaho State University is a Community/Retail Pharmacy organization in Chubbuck, ID (NPI 1740964295).
Provider details
- NPI number
- 1740964295
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Cynthia Rock, Clinics Director of Operations(208) 373-1743
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4914 Yellowstone Ave Ste a
Chubbuck, ID 83202-2332
Phone: (208) 282-5790
Fax: (208) 237-3906
Street-level locationGet directions
Mailing address
990 S 8th Ave Stop 8158
Pocatello, ID 83201-4982
Other names (DBA / former)
- Other name
- Isu Bengal Pharmacy Chubbuck
- Other name
- Isu Bengal Pharmacy Chubbuck
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Frequently asked questions
- What is Idaho State University's NPI number?
- Idaho State University's National Provider Identifier (NPI) is 1740964295, 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 4914 Yellowstone Ave Ste a, Chubbuck, ID 83202-2332.
- What is Idaho State University's phone number?
- The practice phone number listed in the NPPES registry for Idaho State University is (208) 282-5790.
- Who is the authorized official for Idaho State University?
- The authorized official listed on Idaho State University's NPPES record is Cynthia Rock, Clinics Director of Operations. 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 (1740964295) is active in the NPPES registry as of the last update on 2024-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.