Organization Active NPI

Larry'S Family Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Preston, ID
National Provider Identifier
1215035969
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1336CP Issued in ID
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 1336CP ID
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1301807OtherIDNABP

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.