NPI 1477400448
Jershan Enterprises INC.
Practice location
- Address
- 167 W Main St STE 1, Rexburg, ID 83440-1826
- Phone
- (208) 356-4481
Authorised official
- Name
- Jeramy Randall Neibaur
- Title
- President
- Phone
- (208) 356-4481
Registered specialties (2)
Compounding Pharmacy
Primary
Community/Retail Pharmacy
Registry record
- NPI
- 1477400448
- Entity type
- Organization
- NPI issued
- 11 Mar 2026
- Record last updated
- 3 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.