GLENDA MARIE CARR (NPI# 1356410096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356410096 |
| Entity Type | Individual |
| Full Name | GLENDA MARIE CARR |
| Credential | PHARMD |
| Practice Address |
223 16th Ave N Nampa ID 83687-4058 |
| Mailing Address |
400 Shoshone St Boise ID 83705-1660 |
| Practice Telephone | 2083181316 |
| Mailing Telephone | 2089213588 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P5693 | ID | Pharmacy Service Providers |
| Street Address |
223 16TH AVE N |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819509 | Julia Marie Jensen | Family Medicine | 223 16th Ave N, Nampa, ID 83687-4058 | 2005-05-27 |
| 1871136077 | Megan E Forster | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2019-10-21 |
| 1407408644 | Alicia Garber | Counselor | 223 16th Ave N, Nampa, ID 83687-4058 | 2019-07-09 |
| 1376028050 | Nichole Warner | Counselor | 223 16th Ave N, Nampa, ID 83687-4058 | 2018-09-28 |
| 1821540246 | Marisela Nunez | Counselor | 223 16th Ave N, Nampa, ID 83687 | 2016-11-02 |
| 1316499072 | Jesse Tangen | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2016-10-28 |
| 1932566874 | Jacqueline Baggs | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2016-01-22 |
| 1447625850 | Eliane Alabe Deblauw | Marriage & Family Therapist | 223 16th Ave N, Nampa, ID 83653-0009 | 2015-12-10 |
| 1255736781 | Jacob Murgoitio | Physician Assistant | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-10-27 |
| 1063825826 | Ashley Hammargren Freeman | Social Worker | 223 16th Ave N, Nampa, ID 83687-4058 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932518651 | Matthew Cole Justesen | Pharmacist | 5875 E Franklin Rd, Nampa, ID 83687-5020 | 2014-08-06 |
| 1144638644 | Kathleen Bingham | Pharmacist | 5875 E Franklin Rd, Nampa, ID 83687-5020 | 2014-07-28 |
| 1992112189 | Jeffrey Buckingham | Pharmacist | 5875 E Franklin Rd, Nampa, ID 83687-5020 | 2014-07-19 |
| 1295141992 | Jane Stroebel | Pharmacist | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2014-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679817811 | Robert Wills | Pharmacist | 1001 W Resseguie St, Boise, ID 83702-4106 | 2012-11-10 |
| 1154535664 | Camille Marie Nulph | Pharmacist | 4240 Yellowstone Avenue, Walmart Pharmacy, Chubbuck, ID 83202 | 2007-05-10 |
| 1952513046 | Michelle Lee Steed | Pharmacist | 1106 W Ironwood Dr, Coeur D Alene, ID 83814-2480 | 2007-05-03 |
| 1801018718 | Cara Ann Liday | Pharmacist | Intermountain Medical Clinic, 1951 Bench Rd., Suite B, Pocatello, ID 83201 | 2007-05-02 |
| 1306875794 | Jim Allen | Pharmacist | 5658 E Maple Creek Rd, Franklin, ID 83237-5102 | 2006-06-30 |
| 1528052008 | The Pharmacy Doctor, Inc. | Pharmacist | 1471 Shoreline Dr, Suite 100, Boise, ID 83702-6879 | 2005-09-09 |
| 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 |
| 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.