Organization Active NPI

Connect Wellness

  • Compounding Pharmacy
  • Eagle, ID
National Provider Identifier
1508725623
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
CONNECT WELLNESS
Practice address
44 N Fisher Park Way
Eagle, ID 83616-4704
Phone
(208) 593-0133
Fax
(208) 485-5272
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Julie BrownNPI 1831473115
Title
Owner
Phone
(208) 593-0133

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

44 N Fisher Park Way
Eagle, ID 83616-4704

Mailing address

44 N Fisher Park Way
Eagle, ID 83616-4704
Phone (208) 593-0133

National Provider Directory

National Provider Directory

Locations

44 N Fisher Park Way
Eagle, ID 83616
Phone (208) 593-0133

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1508725623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N FISHER PARK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164704",
            "telephone_number": "208-593-0133",
            "fax_number": "208-485-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N FISHER PARK WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164704",
            "telephone_number": "208-593-0133",
            "fax_number": "208-485-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-593-0133"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.