Active NPI
St Lukes West LTD
- Pharmacy
- Nampa, ID
National Provider Identifier
1780117259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- ST LUKES WEST LTD
- Practice address
- 9850 W St Lukes Dr
Nampa, ID 83687-7912 - Phone
- (208) 381-4353
- NPI assigned
- Apr 11, 2017
- Organization subpart
- Yes
- Parent organization
- ST LUKES HEALTH SYSTEM LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelley Curtis
- Title
- Chief Pharmacy Officer
- Phone
- (208) 493-2307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
9850 W St Lukes Dr
Nampa, ID 83687-7912
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-4353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20022717 | Other | ID | MEDICARE - PART B VACCINES |
| 7676920001 | Other | ID | MEDICARE - O/P PHARMACY |
Other names 2
- ST LUKES NAMPA MEDICAL CENTER LTD
- ST LUKES NAMPA RETAIL PHARMACY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180524001893 | ID | DME Supplier - Pharmacy | 6204101785 | Practice locations: Nampa, ID |
| O20210929001011 | ID | Part B Supplier - Pharmacy | 6204101785 |
1 other NPI on this enrollment Practice locations: Nampa, ID |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- St Luke'S Children'S
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1275133944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1780117259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 W ST LUKES DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877912",
"telephone_number": "208-381-4353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKES WEST LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
"enumeration_date": "2017-04-11",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "KELLEY",
"authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
"authorized_official_telephone_number": "208-493-2307"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PART B VACCINES",
"identifier": "20022717",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - O/P PHARMACY",
"identifier": "7676920001",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "8215 W. 108th Terrace",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "66210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ST LUKES NAMPA MEDICAL CENTER LTD",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "ST LUKES NAMPA RETAIL PHARMACY",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "ST LUKES NAMPA RETAIL PHARMACY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.