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

Shane Ellis Withers, RPH

Individual provider Pharmacist · NPI 1952956906

Shane Ellis Withers, RPH is a Pharmacist in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2019.

Licensed in
ID
In the registry since
2019
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

164 E Main
Rexburg, ID 83440
Phone: (208) 227-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P8493 (ID)

Record details

NPI number1952956906
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESNovember 27, 2023

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