Weport Medical Pharmacy

LBN: Weport Medical Pharmacy
Weport Medical Pharmacy is an health care organization with primary practice located at 1220 S Vista Ave Ste A , Boise ID 83705-2530. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Weport Medical Pharmacy can be contacted via phone (816) 405-2406, or through Eldemerdash, Khaled via phone (816) 405-2406.

Contact Information

Primary practice address
1220 S Vista Ave Ste A Boise ID 83705-2530
Phone: (816) 405-2406
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eldemerdash, Khaled RPH
Phone: (816) 405-2406

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1386599371
LBN Legal business name Weport Medical Pharmacy
DBA Doing business as
Authorized official Eldemerdash, Khaled RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2026
Last updated Mar 30th, 2026 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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