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

Dr. Supriya Ponnapula, PHARMD

Individual provider Ambulatory Care Pharmacist · NPI 1053710558

Dr. Supriya Ponnapula, PHARMD is an Ambulatory Care Pharmacist in Boise, Idaho. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

500 W Fort St
Boise, ID 83702-4599
Phone: (208) 422-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence 38214 (TN)

Record details

NPI number1053710558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 20, 2014
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Other providers in Boise