Bonner Professional Compounding
Bonner Professional Compounding is a healthcare organization registered as Compounding Pharmacy in Sandpoint, ID, holding Type 2 (organization) NPI 1154532794 since 2007. The authorized official on file is Mary Snider, Pharmacist in Charge.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154532794 |
|---|---|
| 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 | 2007-05-25 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Mary Snider |
|---|---|
| Title | Pharmacist in Charge |
| Phone | 2082651093 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Primary | 1402CP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1402CP | Other | ID | STATE LICENSE # |
| 1306718 | Other | ID | NCPDS # |
Copy-ready billing details
Provider: Bonner Professional Compounding NPI: 1154532794 Taxonomy: 3336C0004X (Compounding Pharmacy) 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 1154532794 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
Where is Bonner Professional Compounding located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.