Gem State Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

GEM STATE PHARMACY LLC

Practice address

1437 Park View Dr # 200
Twin Falls, ID 83301-3250

Phone

(208) 329-6104

Fax

(208) 609-6290

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Logan Weaver, PHARMD

Title

Pharmacist in Charge

Phone

(208) 329-6104

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1730926080",
    "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": "208-329-6104",
            "fax_number": "208-609-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 PARK VIEW DR # 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-329-6104",
            "fax_number": "208-609-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM STATE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "208-329-6104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geddes LLC
• Jeff Geist, DDS
• Gem Prep: Twin Falls LLC
• Gem State ENT, PLLC
• Gem State Family Health Care PLLC
• Gem State Wellness Pharmacy
• Gemini Care LLC
• Jeffrey James Genato, M.D.
• Geoffroi a. Golay, D.C., PLLC
• Laurie Hewitt Geren, 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 Apr 14, 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.