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

Tracy Lynn Bideganeta, RPH

Individual provider Pharmacist · NPI 1215910229

Tracy Lynn Bideganeta, RPH is a Pharmacist in Mountain Home, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

270 N 2nd E
Mountain Home, ID 83647-2725
Phone: (208) 587-3346
Fax: (208) 587-2052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P4566 (ID)

Record details

NPI number1215910229
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESJuly 13, 2026

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