Jershan Enterprises Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

JERSHAN ENTERPRISES INC.

Practice address

167 W Main St Ste 1
Rexburg, ID 83440-1826

Phone

(208) 356-4481

NPI assigned

Mar 11, 2026

Organization subpart

No

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

Authorized official

Name

Jeramy Randall Neibaur, PHARM.D.NPI 1194219634

Title

President

Phone

(208) 356-4481

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeramy Randall Neibaur, PHARMD

  • Pharmacist
  • Rexburg, ID
  • NPI 1194219634
  NPD Authorized official
• James R Stevenson, RPH

  • Pharmacist
  • Rexburg, ID
  • NPI 1922774785
  NPD (past)

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777766400000",
    "number": "1477400448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W MAIN ST STE 1",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401826",
            "telephone_number": "208-356-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W MAIN ST STE 1",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401826",
            "telephone_number": "208-356-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSHAN ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "NEIBAUR",
        "authorized_official_first_name": "JERAMY",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-356-4481",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffanie Jensen, LMSW
• Stephen M. Jensen, D.O.
• Nichole Ann Jeppesen, FNP-C
• Jeppson Endodontics, PLLC
• Rebecca M. Jeppson, FNP-C
• JJST Enterprises Corp.
• Karen Wilkinson John, LMSW
• Julianna Howell Johnson, LLMSW
• Melanie M Johnson, PHARMD
• Jeff Jones, LCPC

• Compounding Pharmacy in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Compounding Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2026; 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.