Organization · Type 2 NPI

ST Lukes Regional Medical Center

Community/Retail Pharmacy · Boise, ID

NPI number 1386302131 Active

Practice location

11801 W Executive Dr
Boise, ID 83713-0803

Call (208) 205-7779 Map

Fax (208) 205-7780

Mailing address

PO Box 640
Boise, ID 83701-0640

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

Other community/retail pharmacy providers in Boise

See all in Boise →

NPI record

NPI: 1386302131
Entity type: Organization (Type 2)
Issued: Nov 29, 2021
Last updated: Apr 20, 2026
Status: Active
Subpart: Yes of ST Lukes Health System Ltd

Other names

<unavail>
ST Lukes Pharmacy - Boise Community · doing business as
ST Lukes Pharmacy - Boise Community · doing business as

Authorized official

Kelley Curtis
Chief Pharmacy Officer
(208) 493-2307

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1386302131

ST Lukes Regional Medical Center's National Provider Identifier is 1386302131, issued on Nov 29, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Boise, ID. The record was last updated on Apr 20, 2026.