OrganizationActive
Wellness Peptides
NPI 1770464711 · Compounding Pharmacy · Middleton, ID
Provider details
- NPI number
- 1770464711
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Craig Smith, Pharmacy Manager(208) 760-0557
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
324 Boise St
Middleton, ID 83644-5576
Phone: (208) 760-0557
Fax: (986) 200-4697
Street-level locationGet directions
Mailing address
324 Boise St
Middleton, ID 83644-5576
Registry dates
- Enumerated
- 2025-09-08
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.