Active NPI
Valley Professional Pharmacy LLC
- Community/Retail Pharmacy
- Rexburg, ID
National Provider Identifier
1396732244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VALLEY PROFESSIONAL PHARMACY LLC
- Practice address
- 234 E 1St N
Rexburg, ID 83440-1616 - Phone
- (208) 356-6534
- Fax
- (208) 356-6390
- NPI assigned
- Oct 4, 2005
- Last updated
- Sep 11, 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
- Neil Stoddard
- Title
- Owner Pharmacist
- Phone
- (208) 356-6534
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1772CP | ID | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Home Infusion Therapy Pharmacy | 3336H0001X | NU |
Addresses
Primary practice location
234 E 1St N
Rexburg, ID 83440-1616
Mailing address
234 E 1St N
Rexburg, ID 83440-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1304980 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
234 E 1st N
Rexburg, ID 83440
Phone (208) 356-6534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1396732244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 E 1ST N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E 1ST N",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401616",
"telephone_number": "208-356-6534",
"fax_number": "208-356-6390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PROFESSIONAL PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "STODDARD",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "208-356-6534"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "ID",
"license": "1772CP",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1304980",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
- Upper Valley Resource and Counseling Center (Upper Valley Children's Center)
- Upper Valley Surgery Center
- Valley Help at Home Senior Care LLC (1 Assist Care)
- Valley Help at Home Senior Care LLC
- Valley Medical Shoppe Inc
- Darla Horne Valora, LAMFT
- Peter J Valora, PA
- Ian Vassilaros, LPC
- Michelle Versluys
- Jacob Vial, PA-C
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.