Pure Vita Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PURE VITA CO.

Practice address

4775 N Sunderland LN
Boise, ID 83704-2216

Phone

(725) 221-3821

Fax

(208) 639-9488

NPI assigned

Aug 7, 2018

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Darcy Lawhorn

Title

Owner

Phone

(208) 639-9488

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1558840900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 N SUNDERLAND LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837042216",
            "telephone_number": "725-221-3821",
            "fax_number": "208-639-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 N SUNDERLAND LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837042216",
            "telephone_number": "725-221-3821",
            "fax_number": "208-639-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10041 W Lillywood Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83709",
            "country_code": "US",
            "telephone_number": "725-221-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE VITA CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "LAWHORN",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-639-9488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Boise, ID
• Providers in Boise, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

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

Verify at the official NPI Registry.