Organization · Type 2 NPI

ST Lukes Regional Medical Center

Specialty Pharmacy · Boise, ID

NPI number 1609534221 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
Specialty Pharmacy Primary	3336S0011X	None listed

Specialty Pharmacy: A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

6 other providers at this address

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NPI record

NPI: 1609534221
Entity type: Organization (Type 2)
Issued: Dec 1, 2021
Last updated: Apr 23, 2026
Status: Active
Subpart: Yes of ST Lukes Health System Ltd

Other names

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ST Lukes Pharmacy - Boise Specialty · doing business as
ST Lukes Pharmacy - Boise Specialty · doing business as

Authorized official

Kelley Curtis
Chief Pharmacy Officer
(208) 493-2307

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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.

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About NPI 1609534221

ST Lukes Regional Medical Center's National Provider Identifier is 1609534221, issued on Dec 1, 2021. The primary taxonomy on file is Specialty Pharmacy (3336S0011X), and the practice location is in Boise, ID. The record was last updated on Apr 23, 2026.