MARC ANDERSON (NPI# 1316314842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316314842 |
| Entity Type | Individual |
| Full Name | MARC ANDERSON |
| Practice Address |
150 N State St Rigby ID 83442-1443 |
| Practice Telephone | 2087450267 |
| Mailing Telephone | 2087450267 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P7318 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033551650 | Marc E Anderson | Counselor | 2366 Eastlake Ave E Ste 221, Seattle, WA 98102-6500 | 2013-07-24 |
| 1669592598 | Marc L Anderson | Dentist | 9940 Belvedere Rd, Ste E, Royal Palm Beach, FL 33411 | 2007-04-02 |
| 1154307197 | Marc O Anderson | Allergy & Immunology | 2121 No 1700 W, Layton, UT 84041 | 2005-12-21 |
| 1154969707 | Marc Anderson | Pharmacist | 855 Salem Rd, Conway, AR 72034-4820 | 2019-12-13 |
| 1275866865 | Marc David Anderson | Chiropractor | 161 19th St S, Suite #101, Sartell, MN 56377-2153 | 2009-09-14 |
| 1972687549 | Marc Anderson | Social Worker | 199 Town Sq, Suite G, Wheaton, IL 60187-3878 | 2006-10-24 |
| Street Address |
150 N STATE ST |
| City | RIGBY |
| State | ID |
| Zip Code | 83442-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720132178 | Broulim Supermarkets, LLC | Pharmacy | 150 N State St, Rigby, ID 83442-1443 | 2007-01-23 |
| 1891357802 | Oscar M Waldo | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2019-07-01 |
| 1083161186 | Nathaniel Brown | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2016-09-06 |
| 1912319799 | Garret Portela | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2014-05-28 |
| 1780937151 | Clinton J Thackeray | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2012-10-22 |
| 1528242807 | Jason Earl Watts | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2007-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1508400912 | Ranbow LLC | Assisted Living Facility | 130 Stockham Blvd., Rigby, ID 83442 | 2019-10-30 |
| 1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
| 1457856429 | Kayla Childers | Speech-Language Pathologist | 152 E. Main Street, Rigby, ID 83442 | 2018-03-29 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1821466376 | Chad Judy | Speech-Language Pathologist | 152 E Main Street, Suite 110, Rigby, ID 83442 | 2015-09-14 |
| 1740588276 | Jessica Brodie | Speech-Language Pathologist | 165 Front Street, Driggs, ID 83442 | 2011-03-08 |
| 1255636304 | Kathy Lebaron | Midwife | 297n 3855 East, Rigby, ID 83442 | 2011-01-21 |
| 1780834077 | Agape Birth Service and Birth Center | Midwife | 297 N 3855 East, Rigby, ID 83442 | 2008-09-24 |
| 1548431588 | Valley Orthodontics | Dentist | 197 Stockham Blvd, Suite A, Rigby, ID 83442 | 2008-03-18 |
| Find all providers in zip 83442 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851673453 | Calvin Neil Hurley | Pharmacist | 182 N State St, Rigby, ID 83442-1444 | 2011-09-09 |
| 1891357802 | Oscar M Waldo | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2019-07-01 |
| 1083161186 | Nathaniel Brown | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2016-09-06 |
| 1447666128 | Marcus C Hurst | Pharmacist | 182 N State St, Rigby, ID 83442-1444 | 2014-07-02 |
| 1912319799 | Garret Portela | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2014-05-28 |
| 1780937151 | Clinton J Thackeray | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2012-10-22 |
| 1528242807 | Jason Earl Watts | Pharmacist | 150 N State St, Rigby, ID 83442-1443 | 2007-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1932713765 | Richard Lee Wilgus | Pharmacist | 131 W Cameron Ave, Kellogg, ID 83837-2359 | 2020-08-31 |
| 1194335406 | Elizabeth Halcro | Pharmacist | 5453 Hwy 2, Priest River, ID 83856-8385 | 2020-08-03 |
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1467071811 | Cassidy Paige Howarth | Pharmacist | 5861 Victor Meadows Dr, Victor, ID 83455-5482 | 2020-04-15 |
| 1477186542 | Mark David Johnston | Pharmacist | 1683 E Myrtle Beach Ct, Eagle, ID 83616-5366 | 2020-02-18 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1437795259 | Paul Charles Villaret | Pharmacist | 1855 N Groveland Pl, Eagle, ID 83616-4275 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
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| 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.