AMY E RUDOLF


Address: 315 E Elm St Ste 150, Caldwell, ID 83605
Phone: 2084591503

AMY E RUDOLF (NPI# 1215430483) 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) 1215430483
Entity Type Individual
Full Name AMY E RUDOLF
Credential PHARMD.
Practice Address 315 E Elm St Ste 150
Caldwell
ID 83605
Mailing Address 315 E Elm St Ste 150
Caldwell
ID 83605-4864
Practice Telephone 2084591503
Mailing Telephone 2084591503
Enumeration Date 2018-03-14
Last Update Date 2018-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist P7785 ID Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH0016329 OR Pharmacy Service Providers

Office Location

Street Address 315 E ELM ST STE 150
City CALDWELL
State ID
Zip Code 83605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912400078 Kellye Schab Pharmacist 315 E Elm St Ste 150, Caldwell, ID 83605-4864 2018-03-15
1235632258 Michael Thomas Mckinney Pharmacist 315 E Elm St Ste 150, Caldwell, ID 83605-4864 2018-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585660 Laurie Bernstein Occupational Therapist 2205 Sunset Avenue, Caldwell, ID 83605 2020-07-06
1881249316 Elevate Academy Local Education Agency (LEA) 114 W. Chicago St., Caldwell, ID 83605 2019-08-01
1669025359 James Smith Pharmacist 2809 E Caldwell Blvd, Caldwell, ID 83605 2019-07-22
1164910824 Michelle Stoddard Physician Assistant 315 E Elm St Ste 200, Caldwell, ID 83605 2018-04-27
1871044883 Kool Ridez LLC Case Management 1803 Ellis Ave., Caldwell, ID 83605 2016-10-14
1932550795 Chris Torgerson Social Worker 3402 Franklin Blvd, Caldwell, ID 83605 2016-06-23
1609237742 Peggy A Mcfarland Counselor 534 Cleveland Suite 230, Caldwell, ID 83605 2016-03-17
1720468101 Devin Douglas Dredge Emergency Medicine 1717 Arlington Ave Dept Of, Caldwell, ID 83605 2015-06-01
1578950168 Trinidad Bridge Licensed Practical Nurse 2909 S. 10th Avenue, Caldwell, ID 83605 2015-04-21
1104239169 Nichelle Daigle Pharmacist 622 E Ustick Rd, Caldwell, ID 83605 2014-06-08
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922437979 Jeffrey Macaluso Pharmacist 155 Roseland Ave, Apt 35, Caldwell, NJ 07006-5964 2013-11-09
1215237144 Jacqueline K Kavila Pharmacist 2809 E. Cleveland Blvd, Caldwell, ID 83605 2010-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023645918 Matthew Anderson Pharmacist Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 2020-03-23
1417595067 Teresa Janeen Newsom Pharmacist 2840 S Swallowtail Ln, Boise, ID 83706-6138 2019-12-13
1255714879 Kristin Helmboldt Pharmacist 2309 E Cyanite Dr, Meridian, ID 83642-9072 2015-07-01
1932480431 Amy Anne Mcdougal Pharmacist 1066 N Yellowstone Hwy, Rexburg, ID 83440-5103 2011-08-30
1932496650 Charlotte Loring Pharmacist 909 E Park Center B;vd, Boise, ID 83706 2011-07-01
1508096777 Kim E. Tillery Pharmacist 2638 Longbow Dr, Twin Falls, ID 83301-8946 2009-07-21
1093314866 Gregory Aaron Carter Pharmacist 2327 Coronado St, Idaho Falls, ID 83404-7407 2020-10-22
1316544604 James K Hunter Pharmacist 301 Aspen Sq, Saint Anthony, ID 83445-1662 2020-10-08
1629689799 Tanna Marie Schlader Pharmacist 50 2nd St S, Nampa, ID 83651-3700 2020-08-12
1184233579 Kathlene Elizabeth Bailey Pharmacist 3050 E Mullan Ave, Post Falls, ID 83854-8939 2020-07-30
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Competitor

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City CALDWELL
Zip Code 83605

Improve Information

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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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