Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194219634 Individual Practitioner Male Practitioner

Dr. Jeramy Randall Neibaur , PharmD

Pharmacist • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Dr. Jeramy Neibaur, PharmD is a registered healthcare professional specializing in Pharmacist in Rexburg, ID. Practice services are available at 167 W MAIN ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

167 W Main St Ste 1

Rexburg, ID 834401826

Telephone 2083564481
Fax 2083566915
Associated Practice Facility / Clinic
🏢 Jershan Enterprises Inc. Facility NPI 1477400448

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Rexburg, ID

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

Practicing in Rexburg, 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: 2026-03-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P8033

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 - Compounded Sterile Preparations

NUCC Taxonomy Code: 1835C0207X

State License ID P8033

A licensed pharmacist who has demonstrated specialized knowledge and skill to ensure that sterile preparations meet the clinical needs of patients, satisfying quality, safety, and environmental control requirements, regulations, and standards in all phases of preparation, storage, transportation, and administration.

Pharmacist - Pharmacotherapy

NUCC Taxonomy Code: 1835P1200X

State License ID P8033

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922774785

Registered Pharmacist

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location March 10, 2026

Registered at 167 W MAIN ST STE 1, REXBURG, ID 834401826 (Tel: 2083564481)

📍
Updated Business Mailing Address March 10, 2026

Registered at 167 W MAIN ST STE 1, REXBURG, ID 834401826 (Tel: 2083132816)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2026

Pharmacist (License #P8033 in ID)

📍
Updated Practice Location November 09, 2022

Registered at 103 E COLLEGE AVE, SAINT MARIES, ID 838612247 (Tel: 2082454578)

📍
Updated Business Mailing Address November 09, 2022

Registered at 1111 S 2ND ST, SAINT MARIES, ID 838612111 (Tel: 2083132816)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2022

Pharmacist (License #P8033 in ID)

NPI Profile Active June 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2018

Registered at 2809 CLEVELAND BLVD, CALDWELL, ID 836054443 (Tel: 2084551094)

📍
Updated Business Mailing Address June 19, 2018

Registered at 29724 LANCE LN, PARMA, ID 836606914 (Tel: 2083132816)

👤
Provider Name / Credentials Updated June 19, 2018

Recorded as JERAMY NEIBAUR, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2018

Pharmacist (License #P8033 in ID)

🟢
Initial NPI Registration & Enumeration June 19, 2018

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: 1194219634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2018
Last Update: March 10, 2026
Sole Proprietor: Yes

Mailing Address

167 W Main St Ste 1

Rexburg, ID 834401826

Phone: 2083132816

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.