Active NPI
Glenns Ferry Health Center, Inc.
Doing business as Desert Sage Pharmacy
- Community/Retail Pharmacy
- Mountain Home, ID
National Provider Identifier
1861305419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GLENNS FERRY HEALTH CENTER, INC.
- Doing business as
- Desert Sage Pharmacy
- Practice address
- 120 Desert Sage Way
Mountain Home, ID 83647-1038 - Phone
- (208) 587-3988
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Jordan
- Title
- Ceo
- Phone
- (208) 696-7157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
120 Desert Sage Way
Mountain Home, ID 83647-1038
Mailing address
120 Desert Sage Way
Mountain Home, ID 83647-1038
Phone (208) 587-3988
Other names 1
- Desert Sage Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1861305419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 DESERT SAGE WAY",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836471038",
"telephone_number": "208-587-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 DESERT SAGE WAY",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836471038",
"telephone_number": "208-587-3988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENNS FERRY HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-696-7157"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Sage Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mountain Home, ID
- Dale Robert Gibbs, DPT
- Jacob Gibson
- Steven Gigli, DDS
- Colleen M Gingerich, LPC
- Glenns Ferry Health Center, Inc. (Desert Sage Health Centers)
- Glenns Ferry Health Center, Inc. (Desert Sage Health Centers)
- Glenns Ferry Health Center, Inc. (Desert Sage Health Center)
- Amy Jo Glover
- Brent Charles Goldthorpe, D.M.D.
- John Earl Goodrich, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.