JFK CLINIC (NPI# 1386985851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386985851 |
| Entity Type | Organization |
| Organization Name | JFK CLINIC |
| Practice Address |
150 N Capitol Blvd Boise ID 83702-5920 |
| Mailing Address |
300 2nd Ave Ne Ste 113 Jamestown ND 58401-3373 |
| Practice Telephone | 7012513085 |
| Mailing Telephone | 7012513085 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |
| Authorized Official Name | ANGIE HOFFMANN (DIRECTOR) |
| Authorized Official Telephone | 7012513085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Street Address |
150 N CAPITOL BLVD |
| City | BOISE |
| State | ID |
| Zip Code | 83702-5920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588743058 | Z Inc | Pharmacy | 10565 Lake Hazel Rd, Boise, ID 83709 | 2006-11-03 |
| 1346267697 | Walmart Inc. | Pharmacy | 7319 W State St, Boise, ID 83714-6051 | 2006-07-16 |
| 1376588442 | Fred Meyer Stores Inc | Pharmacy | 5230 W Franklin Rd, Boise, ID 83705-1109 | 2006-06-20 |
| 1255379491 | Albertsons LLC | Pharmacy | 1653 S Vista Ave, Boise, ID 83705 | 2006-06-02 |
| 1003862517 | Albertsons LLC | Pharmacy | 6560 S Federal Way, Boise, ID 83716 | 2006-05-26 |
| 1346236650 | Home Living Services, Inc | Pharmacy | 106 S Cole Rd, Boise, ID 83709-0932 | 2005-09-22 |
| 1538534078 | Medsync Pharmacy | Pharmacy | 801 S Vista Ave, Boise, ID 83705-2424 | 2015-12-09 |
| 1346680683 | Veterans Pharma Incorporated | Pharmacy | 9196 W Emerald St, Suite 110, Boise, ID 83704-0679 | 2013-07-01 |
| 1891047791 | The Family Medicine Residency of Idaho Inc | Pharmacy | 6565 W Emerald St, Boise, ID 83704-8737 | 2012-10-03 |
| 1649332768 | St Luke's Regional Medical Center | Pharmacy | 190 E Bannock St, Boise, ID 83712-6241 | 2006-12-14 |
| Find all providers in BOISE | ||||
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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.