Innovative Care Pharmacy
Innovative Care Pharmacy is a healthcare organization registered as Long Term Care Pharmacy in Boise, ID, holding Type 2 (organization) NPI 1528055324 since 2005. The authorized official on file is Brad Lanham, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528055324 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Innovative Care Pharmacy |
| Other name | <Unavail> |
| Practice address | 9196 E EMERALD ST, STE 110, Boise, ID, 83704 |
| Phone | 2083231259 |
| Fax | 2083235666 |
| Enumeration date | 2005-10-05 |
| Last updated in NPPES | 2013-05-07 |
Authorized official
| Name | Brad Lanham |
|---|---|
| Title | President/Ceo |
| Phone | 8173286421 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Primary | 2304LS | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021877 | Other | — | PK |
| 80668600 | Medicaid | ID | — |
Copy-ready billing details
Provider: Innovative Care Pharmacy NPI: 1528055324 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 9196 E EMERALD ST, STE 110, Boise, ID, 83704
Verify this record
Cross-check NPI 1528055324 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 is the NPI number for Innovative Care Pharmacy?
Who is the authorized official for Innovative Care Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-05-07.