- Practice location
- 12639 W Explorer Dr Ste 125, Boise, ID 83713-1887
- Phone
- 866-898-9368
- Fax
- 855-251-0222
- Last updated
- September 9, 2026
Lifefill I, LLC is a healthcare organization based in Boise, ID. Lifefill I, LLC practices in Boise, ID. The NPI Number for Lifefill I, LLC is 1225959968. The current practice location address for Lifefill I, LLC is 12639 W Explorer Dr Ste 125, Boise, ID 83713-1887 and can be reached out via phone at 866-898-9368 and via fax at 855-251-0222.
Provider Profile Details
- NPI Number
- 1225959968
- Provider Name
- Lifefill I, LLC
- Provider Entity Type
- Organization
- Address
- 12639 W Explorer Dr Ste 125, Boise, ID 83713-1887
- Phone Number
- 866-898-9368
- Fax Number
- 855-251-0222
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Michael Nameth · Evp, Cloud And Specialty Pharmacy · 646-201-9585
- Other Names
- Novocare (Doing Business As)
- Provider Enumeration Date
- July 21, 2026
- Last Update Date
- September 9, 2026
- Certification Date
- September 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12639 W Explorer Dr Ste 125
Boise, ID 83713-1887 - City
- Boise
- State
- Idaho
- Zip
- 83713-1887
- Phone Number
- 866-898-9368
- Fax Number
- 855-251-0222
Provider Business Mailing Address Details
- Address
- 1407 Broadway Rm 1910
New York, NY 10018-2874 - City
- New York
- State
- NY
- Zip
- 10018-2874
License Information
- Taxonomy
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy providers near Boise, ID
View all Pharmacy providers in Boise →Frequently Asked Questions
What is the NPI number of Lifefill I, LLC?
The NPI number of Lifefill I, LLC is 1225959968. It was assigned on July 21, 2026 and is currently active in the NPPES registry.
What is the specialty of Lifefill I, LLC?
Lifefill I, LLC is registered under the primary taxonomy Pharmacy (code 333600000X).
Where does Lifefill I, LLC practice?
The practice location is 12639 W Explorer Dr Ste 125, Boise, ID 83713-1887. The office can be reached at 866-898-9368 (phone) or 855-251-0222 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225959968 directly on the NPPES registry website.