ST. LUKE'S BOISE MEDICAL CENTER


Address: 190 E Bannock St, Inpatient Pharmacy, Boise, ID 83712-6241
Phone: 2083812490

ST. LUKE'S BOISE MEDICAL CENTER (NPI# 1255622825) 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) 1255622825
Entity Type Organization
Organization Name ST. LUKE'S BOISE MEDICAL CENTER
Other Organization Name SLRMC INPATIENT PHARMACY
Practice Address 190 E Bannock St
Inpatient Pharmacy
Boise
ID 83712-6241
Mailing Address 190 E Bannock Street
Inpatient Pharmacy
Boise
ID 83712-6241
Practice Telephone 2083812490
Practice Fax Number 2083813554
Enumeration Date 2011-04-29
Last Update Date 2011-04-29
Authorized Official Name DAWN BERHEIM (DIRECTOR OF PHARMACY)
Authorized Official Telephone 2083817194
Authorized Official Credential PHARM D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
199HP ID Suppliers

Other Provider/Organization Names

Other Name Type Code
SLRMC Inpatient Pharmacy Other Name - Individual/Organization

Office Location

Street Address 190 E BANNOCK ST
INPATIENT PHARMACY
City BOISE
State ID
Zip Code 83712-6241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770586794 St Lukes Regional Medical Center Pharmacy 190 E Bannock St, Boise, ID 83712-6241 2005-05-23
1275133944 St Lukes Health System Ltd General Acute Care Hospital 190 E Bannock St, Boise, ID 83712-6241 2020-10-30
1750980017 Andrea Johnson Murray Pharmacy Technician 190 E Bannock St, Boise, ID 83712-6241 2020-10-19
1679180103 Katie Marie Pond Social Worker 190 E Bannock St, Boise, ID 83712-6241 2020-09-29
1780297762 Alexandria Marie Schultz Pharmacist 190 E Bannock St, Boise, ID 83712-6241 2020-08-28
1225640048 Tania Michelle Villanueva-sanchez Pharmacist 190 E Bannock St, Boise, ID 83712-6241 2020-08-21
1154931426 Brittany Nichole Galop Pharmacist 190 E Bannock St, Boise, ID 83712-6241 2020-08-03
1558970046 Emily Michelle Bush Pharmacist 190 E Bannock St, Boise, ID 83712-6241 2020-07-30
1699393447 Chadd Miller Ramos Pharmacist 190 E Bannock St, Boise, ID 83712-6241 2020-07-08
1740819127 Lindzee Searle Pharmacy Technician 190 E Bannock St, Boise, ID 83712-6241 2020-04-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477016012 Veranda At Barber Station LLC Assisted Living Facility 3266 E. Barber Valley Drive, Boise, ID 83712 2019-04-10
1891258612 Mary Elizabeth Riedel Occupational Therapist 190 E Bancock St., Boise, ID 83712 2019-04-09
1427523968 Q17 Health Partners LLC Surgery 100 East Idaho Street #317, Boise, ID 83712 2018-10-11
1053898247 Travis Dale Worwood Social Worker South Entrance, 1075 E. Park Blvd, Boise, ID 83712 2018-07-20
1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
1740706894 Meghan Heitstuman Social Worker 190 E Bannock Street, Boise, ID 83712 2017-08-21
1942759725 Kay Craig Physical Therapist 190 Bannock, Boise, ID 83712 2016-09-22
1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
1033576491 Heather Hussey Genetic Counselor, MS 100 E Idaho Street, Msti Genetics, Boise, ID 83712 2016-01-15
1295139137 Amie Bartholomeus Massage Therapist 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 2014-10-21
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Taxonomy Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770586794 St Lukes Regional Medical Center Pharmacy 190 E Bannock St, Boise, ID 83712-6241 2005-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215228911 St Luke's Meridian Inpt Pharmacy Pharmacy 520 S Eagle Rd, Attn: Basement, Meridian, ID 83642-6351 2011-04-28
1447439666 Clearwater Valley Hospital and Clinics Pharmacy Pharmacy 301 Cedar St, Orofino, ID 83544-9029 2007-10-25
1992994024 St. Mary's Hospital Pharmacy Pharmacy 701 Lewiston St, Cottonwood, ID 83522 2007-10-15
1265559314 State of Idaho-dba Idaho State School & Hospital Pharmacy Pharmacy 1660 11th Ave N, Nampa, ID 83687-5000 2007-03-23
1699814574 Bear Lake County Memorial Hospital Pharmacy 164 S 5th St, Montpelier, ID 83254-1557 2007-02-06
1932154705 St. Luke's Magic Valley Regional Medical Center, Ltd. Pharmacy 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2006-05-23

Competitor

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City BOISE
Zip Code 83712

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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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