Bonner Professional Compounding
Bonner Professional Compounding is a healthcare organization registered as Pharmacotherapy Pharmacist in Sandpoint, ID, holding Type 2 (organization) NPI 1093850877 since 2007. The authorized official on file is Sheryl Rickard, Chief Executive Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093850877 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bonner Professional Compounding |
| Practice address | 520 N 3RD AVE, Sandpoint, ID, 83864 |
| Phone | 2082651093 |
| Fax | 2082651031 |
| Enumeration date | 2007-02-20 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Sheryl Rickard |
|---|---|
| Title | Chief Executive Officer |
| Phone | 2082631441 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1835P1200X | Pharmacotherapy Pharmacist | Primary | 1402CP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1402CP | Other | ID | STATE BOARD OF PHARMACY |
| BB8651526 | Other | DC | CONTROLLED SUBSTANCE REGI |
Copy-ready billing details
Provider: Bonner Professional Compounding NPI: 1093850877 Taxonomy: 1835P1200X (Pharmacotherapy Pharmacist) Address: 520 N 3RD AVE, Sandpoint, ID, 83864
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598720989 | Laurie Foutty | Individual | Nurse Practitioner | Sandpoint, ID |
| 1144287756 | Bonner General Hospital, Inc. | Organization | General Acute Care Hospital | Sandpoint, ID |
| 1073562591 | Bonner General Hospital, Inc. | Organization | Community Based Hospice Care Agency | Sandpoint, ID |
| 1821001462 | Mark Weber | Individual | Diagnostic Radiology Physician | Sandpoint, ID |
| 1295845626 | Paul Rumore | Individual | Emergency Medicine Physician | Sandpoint, ID |
| 1033229471 | Charlene Dehaven | Individual | Emergency Medicine Physician | Sandpoint, ID |
| 1760584668 | Bonner General Hospital Inc | Organization | Urgent Care Clinic/Center | Sandpoint, ID |
| 1538261672 | Michael Rosenkranz | Individual | Anesthesiology Physician | Sandpoint, ID |
Verify this record
Cross-check NPI 1093850877 against the authoritative CMS record: view Bonner Professional Compounding on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Bonner Professional Compounding?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.