Active NPI
Sandpoint Drug Inc
- Community/Retail Pharmacy
- Sandpoint, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SANDPOINT DRUG INC
- Practice address
- 604 N Fifth Ave
Sandpoint, ID 83864-1520 - Phone
- (208) 263-1408
- Fax
- (208) 265-8784
- NPI assigned
- Oct 3, 2005
- Last updated
- May 13, 2025
- 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. Scott Allen Porter, R.PH.,PHARM.D.
- Title
- Pharmacist/Manager
- Phone
- (208) 263-1408
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | ID | Primary |
Addresses
Primary practice location
604 N Fifth Ave
Sandpoint, ID 83864-1520
Mailing address
604 N Fifth Ave
Sandpoint, ID 83864-1520
Phone (208) 263-1408
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024047 | Medicaid | ID | |
| 19110281 | Other | MEDICARE MASS IMMUNIZATION PTAN | |
| 20019353 | Other | MEDICARE PHARMACY PTAN | |
| 0211370001 | Other | MEDICARE DME PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076061 | ID | DME Supplier - Pharmacy | 5092832451 | Practice locations: Sandpoint, ID |
| O20200701002164 | ID | Part B Supplier - Pharmacy | 5092832451 | Practice locations: Sandpoint, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sandpoint Super Drug | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
604 N Fifth Ave
Sandpoint, ID 83864
Phone (208) 263-1408
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Sandpoint, ID
- NPI 1326035494
-
- Pharmacist
- Sandpoint, ID
- NPI 1528463668
-
- Family Medicine Physician
- Sandpoint, ID
- NPI 1952308405
-
- Pharmacist
- Sandpoint, ID
- NPI 1477958650
-
- Family Nurse Practitioner
- Sandpoint, ID
- NPI 1700334737
-
- Pharmacist
- Sandpoint, ID
- NPI 1871101113
-
- Pharmacist
- Thompson Falls, MT
- NPI 1023898921
-
- Family Medicine Physician
- Calabasas, CA
- NPI 1093058463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1326035585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 N FIFTH AVE",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641520",
"telephone_number": "208-263-1408",
"fax_number": "208-265-8784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N FIFTH AVE",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641520",
"telephone_number": "208-263-1408",
"fax_number": "208-265-8784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDPOINT DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PHARMACIST/MANAGER",
"authorized_official_telephone_number": "208-263-1408",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH.,PHARM.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0024047",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MASS IMMUNIZATION PTAN",
"identifier": "19110281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PHARMACY PTAN",
"identifier": "20019353",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME PTAN",
"identifier": "0211370001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
- Josie Saganski, DC
- Sand Creek Mental Health and Wellness
- Sandcreek Medical Sales & Rentals (Sandcreek Medical)
- Lori Sanders, LMFT
- Sandpoint Anesthesia Associates PLLC
- Sandpoint Family Health Center (Family Health Center)
- Sandpoint Family Health Center, PLLC
- Sandpoint Family Medicine PA (Sandpoint Family Medicine & Urgent Care)
- Sandpoint Family Services, LLC
- Sandpoint Health Care, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.