NPIMap

Organization Active NPI

St Lukes Magic Valley Regional Medical Center LTD

Doing business as St Lukes In Clinic Pharmacy Twin Falls N College

  • Pharmacy
  • Twin Falls, ID
National Provider Identifier
1912748013
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD
Doing business as
St Lukes In Clinic Pharmacy Twin Falls N College
Practice address
815 N College Rd Ste 150
Twin Falls, ID 83301-3484
Phone
(208) 814-9250
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES HEALTH SYSTEM LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Kelly Curtis
Title
Chief Pharmacy Officer
Phone
(208) 493-2307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

815 N College Rd Ste 150
Twin Falls, ID 83301-3484

Mailing address

PO Box 640
Boise, ID 83701-0640
Phone (208) 205-7779

Other names 1

  • St Lukes In Clinic Pharmacy Twin Falls N College Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SLMV Medical Center6 organizations share this tax ID, including this one
Part of
St Luke's Children's

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

815 N College Rd
Ste 150
Twin Falls, ID 83301
Phone (208) 814-9250

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.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1912748013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010640",
            "telephone_number": "208-205-7779",
            "fax_number": "208-205-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N COLLEGE RD STE 150",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013484",
            "telephone_number": "208-814-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "208-493-2307"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lukes In Clinic Pharmacy Twin Falls N College",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.