NPIMap

Organization Active NPI

St Lukes Regional Medical Center

Doing business as St Lukes Meridian Pharmacy - Vaccines

  • Pharmacy
  • Meridian, ID
National Provider Identifier
1326040338
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1145CP Issued in ID
Legal business name
ST LUKES REGIONAL MEDICAL CENTER
Doing business as
St Lukes Meridian Pharmacy - Vaccines
St Lukes Out Patient Pharmacy - Meridian
Practice address
520 S Eagle Rd
Suite 1000
Meridian, ID 83642-6351
Phone
(208) 706-5255
Fax
(208) 706-5253
NPI assigned
Aug 10, 2005
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES HEALTH SYSTEM LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Kelley Curtis
Title
Chief Pharmacy Officer
Phone
(208) 493-2307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1145CP ID Primary

Addresses

Primary practice location

520 S Eagle Rd
Suite 1000
Meridian, ID 83642-6351

Mailing address

PO Box 640
Boise, ID 83701-0640

Other identifiers 4

IdentifierTypeStateIssuer
1306011OtherNABP
20022777OtherIDMEDICARE - PART B VACCINES
002253500MedicaidID
1145CPOtherIDPHARMACY LICENSE

Other names 2

  • St Lukes Meridian Pharmacy - Vaccines Doing business as
  • St Lukes Out Patient Pharmacy - Meridian Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930024470 ID DME Supplier - Pharmacy 5799692604 Practice locations: Meridian, ID
O20211005002801 ID Part B Supplier - Pharmacy 5799692604 7 other NPIs on this enrollment
Practice locations: Boise, ID; Fruitland, ID; Meridian, ID; Nampa, ID

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
St Luke's Children's

Locations

520 S Eagle Rd
Ste 1000
Meridian, ID 83642
Phone (208) 706-5252

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Lukes Rehabilitation Inpatient Acute Care UnitBoise, ID, CCN 13T006 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
St Lukes Clinic - Eastern Oregan Medical AssociatesBaker City, OR, CCN 383852 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 1, 2016
St Lukes Clinic-Trinity Mountain MedicalMountain Home, ID, CCN 133999 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1326040338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "address_2": "SUITE 1000",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-706-5255",
            "fax_number": "208-706-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "208-493-2307"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ID",
            "license": "1145CP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1306011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PART B VACCINES",
            "identifier": "20022777",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002253500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "1145CP",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "8215 W. 108th Terrace",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Lukes Meridian Pharmacy - Vaccines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Lukes Out Patient Pharmacy - Meridian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.