Whalio Doctors

NPI 1477400448

Jershan Enterprises INC.

Organisation Compounding Pharmacy Rexburg, ID

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
Suppliers Taxonomy 3336C0004X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

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.