Healthcare Provider Details

I. General information

NPI: 1336068089
Provider Name (Legal Business Name): MATTHEW SCOTT ORME
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5875 E FRANKLIN RD
NAMPA ID
83687-5450
US

IV. Provider business mailing address

5875 E FRANKLIN RD
NAMPA ID
83687-5450
US

V. Phone/Fax

Practice location:
  • Phone: 208-461-8718
  • Fax: 208-461-8720
Mailing address:
  • Phone: 208-461-8718
  • Fax: 208-461-8720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3281814
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: