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Innovative Care Pharmacy

Innovative Care Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Boise, ID, holding Type 2 (organization) NPI 1407966229 since 2006. The authorized official on file is Sheila Moore, Vp Purchasing.

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NPI 1407966229
Entity type Organization (Type 2)
Legal business name Innovative Care Pharmacy
Other name <Unavail>
Practice address 9196 W EMERALD ST, STE 110, Boise, ID, 83704
Phone 2083231259
Fax 2083238934
Enumeration date 2006-08-30
Last updated in NPPES 2009-09-25

Authorized official

Name Sheila Moore
Title Vp Purchasing
Phone 8175527630

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0003X Community/Retail Pharmacy Primary 2303CP ID

Other identifiers

Identifier Type State Issuer
806967700 Medicaid ID
1307619 Other NCPDP PROVIDER IDENTIFICATION NUMBER
Copy-ready billing details
Provider: Innovative Care Pharmacy
NPI: 1407966229
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 9196 W EMERALD ST, STE 110, Boise, ID, 83704

Providers at this address

NPI Name Type Specialty Location
1124324207 George Drashner Individual Pharmacist Boise, ID
1003112053 David Harrison Individual Pharmacist Boise, ID
1346680683 Veterans Pharma Incorporated Organization Pharmacy Boise, ID
1639601339 Maggie Benedetti Individual Social Worker Boise, ID
1982334108 Talia Esplin Individual Mental Health Counselor Boise, ID

Verify this record

Cross-check NPI 1407966229 against the authoritative CMS record: view Innovative Care Pharmacy 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 Innovative Care Pharmacy?
Innovative Care Pharmacy is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-09-25.