ALEX JAMES LYSTRUP


Address: 465 Memorial Dr, Pocatello, ID 83201-4008
Phone: 2082344700

ALEX JAMES LYSTRUP (NPI# 1124670831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124670831
Entity Type Individual
Full Name ALEX JAMES LYSTRUP
Credential PHARMD
Practice Address 465 Memorial Dr
Pocatello
ID 83201-4008
Practice Telephone 2082344700
Enumeration Date 2019-07-12
Last Update Date 2019-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
P8065 ID Pharmacy Service Providers

Office Location

Street Address 465 MEMORIAL DR
City POCATELLO
State ID
Zip Code 83201-4008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578555603 Nicole Murdock Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2005-08-16
1538785191 Kailey Jo Murphy Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-19
1568087435 Sye Speth Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-16
1376168013 Martin Steele Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-09
1356965396 Jokke Kokkonen Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-05
1649894692 Richard John Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-05
1972127942 Tyshae Jaggi Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-04
1003430174 Emily Davis Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-03
1134743628 Brandon Dean Comish Family Medicine 465 Memorial Dr, Pocatello, ID 83201-4008 2020-06-01
1598318792 Brandon Griffin Dentist 465 Memorial Dr, Pocatello, ID 83201-4008 2019-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
Find all providers in zip 83201

Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801018718 Cara Ann Liday Pharmacist Intermountain Medical Clinic, 1951 Bench Rd., Suite B, Pocatello, ID 83201 2007-05-02
1265424105 Rex W Force Pharmacist Isu Box 8357, 465 Memorial Drive, Pocatello, ID 83209-0001 2005-08-17
1578555603 Nicole Murdock Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2005-08-16
1235131004 Paul S Cady Pharmacist 13 Temple Ave, Pocatello, ID 83201-3427 2005-08-11
1265434047 Joseph F. Steiner Pharmacist Idaho State University College of Pharmacy, Campus Box 8288, Pocatello, ID 83209-0001 2005-08-11
1003477415 Jordin Millward Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2019-06-26
1083148035 Jordan Michael Ferro Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2017-04-17
1093156473 Jora Sliwinski-heath Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2013-07-12
1902247380 Kasidy Laree Mckay Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2013-07-12
1255699773 John Thomas Holmes Pharmacist 465 Memorial Dr, Pocatello, ID 83201-4008 2012-05-03
Find all providers in POCATELLO

Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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