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

Dr. Matthew John Bauer, RPH

Individual provider Pharmacist · NPI 1730474289

Dr. Matthew John Bauer, RPH is a Pharmacist in Boise, Idaho. Practices as a sole proprietor. Licensed in Arizona, Idaho and Montana.

Licensed in
AZ, ID, MT
In the registry since
2011
Specialties on file
3
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4700 N Eagle Rd # T1960
Boise, ID 83713-0744
Phone: (208) 939-5149
Fax: (208) 939-5282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P9887 (ID)
Pharmacist Taxonomy 183500000X · Licence 98474 (MT)
Pharmacist Taxonomy 183500000X · Licence S018022 (AZ)

Record details

NPI number1730474289
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedJune 13, 2011
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024
Mailing address2652 S Siesta Dr, Tempe, AZ 85282-2968

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