Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pure Path Compounding Pharmacy LLC

Organization Compounding Pharmacy · NPI 1033917810

Pure Path Compounding Pharmacy LLC is a Compounding Pharmacy in Boise, Idaho. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2141 W Airport Way Ste 700
Boise, ID 83705-5168
Phone: (208) 985-3575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X
Mail Order Pharmacy Taxonomy 3336M0002X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1033917810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Crumley — Operations Manager · (208) 985-3575
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address2141 W Airport Way Ste 700, Boise, ID 83705-5168

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