Active NPI
Larry'S Family Pharmacy, Inc.
- Durable Medical Equipment & Medical Supplies
- Preston, ID
National Provider Identifier
1215035969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1336CP
- Legal business name
- LARRY'S FAMILY PHARMACY, INC.
- Practice address
- 217 South State St.
Preston, ID 83263 - Phone
- (208) 852-0163
- Fax
- (208) 852-1847
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Durrant, R.P.H
- Title
- Owner Pharmacist
- Phone
- (435) 563-6262
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1336CP | ID | |
| Pharmacist | 183500000X | P4557 | ID | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1336CP | ID | Primary |
Addresses
Primary practice location
217 South State St.
Preston, ID 83263
Mailing address
217 South State St.
Preston, ID 83263
Phone (208) 852-0163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301807 | Other | ID | NABP |
National Provider Directory
National Provider DirectoryLocations
217 S State St
Preston, ID 83263
Phone (208) 852-0163
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Preston, ID
- NPI 1073338513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1215035969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 SOUTH STATE ST.",
"city": "PRESTON",
"state": "ID",
"postal_code": "83263",
"telephone_number": "208-852-0163",
"fax_number": "208-852-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 SOUTH STATE ST.",
"city": "PRESTON",
"state": "ID",
"postal_code": "83263",
"telephone_number": "208-852-0163",
"fax_number": "208-852-1847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY'S FAMILY PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DURRANT",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "435-563-6262",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.P.H"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "ID",
"license": "1336CP",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "ID",
"license": "P4557",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ID",
"license": "1336CP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1301807",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Preston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.