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

Shane Oliver Withers Jr., PHARMD, BCPS

Individual provider Pharmacist · NPI 1336790567

Shane Oliver Withers Jr., PHARMD, BCPS is a Pharmacist in Idaho Falls, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
BCPS — Board Certified Pharmacotherapy Specialist
A pharmacist with advanced certification in drug therapy.

See every abbreviation used in this directory →

Practice location Address checks out

2495 E Lincoln Rd
Idaho Falls, ID 83401-2203
Phone: (986) 497-3149
Show map & directions

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

Additional practice locations (1)

  • 933 E Elva St, Idaho Falls, ID 83401-2164 — (208) 313-4336

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P8466 (ID)

Record details

NPI number1336790567
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD , BCPS
Sole proprietorYes
NPI enumeratedSeptember 29, 2019
Last updated in NPPESApril 10, 2022
Certification dateApril 10, 2022

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