Individual provider Active NPI

Timothy Biediger, RPH

  • Pharmacist
  • Coeur d'Alene, ID
National Provider Identifier
1235531559
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P4998 Issued in ID
Practice address
3000 S Bonnell Rd
Coeur D Alene, ID 83814-5078
Phone
(208) 773-2499
Fax
(208) 773-6309
NPI assigned
Sep 17, 2014
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P4998 ID Primary

Addresses

Primary practice location

3000 S Bonnell Rd
Coeur D Alene, ID 83814-5078

Mailing address

565 N Vest St
Post Falls, ID 83854-7066
Phone (208) 773-2499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
P4998IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Compounding Center LLC Pharmacist CurrentSince Nov 7, 2025 Accepting new patients
Medicine Man Pharmacy Inc Past Accepting new patients

Locations

565 N Vest St
Post Falls, ID 83854
Phone (208) 773-2499

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1235531559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 N VEST ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547066",
            "telephone_number": "208-773-2499",
            "fax_number": "208-773-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S BONNELL RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145078",
            "telephone_number": "208-773-2499",
            "fax_number": "208-773-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEDIGER",
        "first_name": "TIMOTHY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P4998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.