Andel Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

ANDEL PHARMACY, LLC

Practice address

219 N 27TH St Ste 9
Boise, ID 83702-4745

Phone

(347) 839-8219

NPI assigned

Oct 9, 2025

Last updated

Oct 9, 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

Mr. Jay Philip Bregman

Title

Ceo

Phone

(347) 839-8219

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1700751666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BROADWAY",
            "address_2": "2ND FLOOR #950",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "347-839-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N 27TH ST STE 9",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024745",
            "telephone_number": "347-839-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDEL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BREGMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-839-8219",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "7371880",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.