Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568206423 Individual Practitioner Male Practitioner

Khaled Eldemerdash , RPH

Pharmacist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Khaled Eldemerdash, RPH is a registered healthcare professional specializing in Pharmacist in Boise, ID. Practice services are available at 1220 S VISTA AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1220 S Vista Ave Ste A

Boise, ID 837052530

Telephone 8164052406
Associated Practice Facility / Clinic
🏢 Weport Medical Pharmacy Facility NPI 1386599371

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
496 Specialists

Practicing in Boise, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 89376

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License ID 9561972

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 28, 2026

Registered at 1220 S VISTA AVE STE A, BOISE, ID 837052530 (Tel: 8164052406)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2026

Pharmacist (License #9561972 in ID)

📍
Updated Practice Location August 29, 2024

Registered at 222 W 39TH AVE, SAN MATEO, CA 944034364 (Tel: 6505732222)

NPI Profile Active June 24, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2024

Registered at 1600 EUREKA RD, ROSEVILLE, CA 956613027 (Tel: 9167844000)

📍
Updated Business Mailing Address June 24, 2024

Registered at PO BOX 934, CAMARILLO, CA 930110934

👤
Provider Name / Credentials Updated June 24, 2024

Recorded as KHALED ELDEMERDASH, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2024

Pharmacist (License #89376 in CA)

🟢
Initial NPI Registration & Enumeration June 24, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568206423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2024
Last Update: March 28, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 934

Camarillo, CA 930110934

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.