Gem State Wellness Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

GEM STATE WELLNESS PHARMACY

Practice address

247 River Vista PL Ste 101
Twin Falls, ID 83301-3019

Phone

(208) 329-8563

Fax

(208) 510-6627

NPI assigned

Feb 12, 2026

Organization subpart

No

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

Authorized official

Name

Logan Weaver, PHARMDNPI 1609605443

Title

Manager/Pharmacist

Phone

(208) 329-8563

Specialties & licenses 1

Addresses

Practitioners 1

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

• Logan Weaver

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Twin Falls, ID
  • NPI 1609605443
  NPD Authorized official

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1548112352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W BLUE DOWNS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428496",
            "telephone_number": "208-329-8563",
            "fax_number": "208-510-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 RIVER VISTA PL STE 101",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013019",
            "telephone_number": "208-329-8563",
            "fax_number": "208-510-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM STATE WELLNESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "MANAGER/PHARMACIST",
        "authorized_official_telephone_number": "208-329-8563",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Geist, DDS
• Gem Prep: Twin Falls LLC
• Gem State ENT, PLLC
• Gem State Family Health Care PLLC
• Gem State Pharmacy LLC
• Gemini Care LLC
• Jeffrey James Genato, M.D.
• Geoffroi a. Golay, D.C., PLLC
• Laurie Hewitt Geren, LCPC
• Matthew D Geske, LCPC

• Compounding Pharmacy in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Compounding Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.