Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERAMY RANDALL NEIBAUR, PHARMD
Active Sole ProprietorDR. JERAMY RANDALL NEIBAUR, PHARMD is a Pharmacist healthcare provider located in SAINT MARIES, Idaho. NPI 1194219634 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · SAINT MARIES, ID
Registration Details
- NPI Number
- 1194219634
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2018 (7.9794495049827 yrs)
- Last Updated
- Nov 9, 2022
- Licenses
-
P8033 (ID)P8033 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 E COLLEGE AVESAINT MARIES, ID, 838612247Browse ID providers · Browse ZIP 83861
- Phone
- 2082454578
- Fax
- 2082455004
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in SAINT MARIES, ID
| Name | Credential | NPI |
|---|---|---|
| ERIC JOHN DANIELS | RPH | 1053190603 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.