Jeramy Randall Neibaur, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P8033 Issued in ID

Practice address

167 W Main St Ste 1
Rexburg, ID 83440-1826

Phone

(208) 356-4481

Fax

(208) 356-6915

NPI assigned

Jun 19, 2018

Last updated

Mar 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jershan Enterprises Inc.

  • Compounding Pharmacy
  • Rexburg, ID
  • NPI 1477400448
  NPD Authorized official
• J & S Enterprises Inc

  dba Medicine Shoppe #517

  • Community/Retail Pharmacy
  • Rexburg, ID
  • NPI 1851406888
  NPD (past)
• Jacks Pharmacy Inc

  • Community/Retail Pharmacy
  • St Maries, ID
  • NPI 1518967710
  NPD (past)
• Jacks Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • St Maries, ID
  • NPI 1619001187
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1194219634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W MAIN ST STE 1",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401826",
            "telephone_number": "208-313-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W MAIN ST STE 1",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401826",
            "telephone_number": "208-356-4481",
            "fax_number": "208-356-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBAUR",
        "first_name": "JERAMY",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P8033",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "P8033",
            "primary": false
        },
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "ID",
            "license": "P8033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paisley Murdock, RBT
• MVH BMC LLC (Shelley Family Medical Center)
• Kelleen Alaine Myers, LMFT
• Arleigh Nash, FNP-C
• Jared M Neal, LCSW
• Kristi Neibaur, D.P.T.
• Heather Nelson, RN
• Judy Nelson
• Terrance Nelson
• Trevor James Nelson, LCSW

• Pharmacist in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.