JEFFERSON BOHAN


Address: 500 W Fort St, Buildling T111, Boise, ID 83702-4501
Phone: 2084221000

JEFFERSON BOHAN (NPI# 1508245937) 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) 1508245937
Entity Type Individual
Full Name JEFFERSON BOHAN
Credential PHARM.D.
Practice Address 500 W Fort St
Buildling T111
Boise
ID 83702-4501
Practice Telephone 2084221000
Practice Fax Number 2084221155
Mailing Telephone 2084221000
Mailing Fax Number 2084221155
Enumeration Date 2015-05-19
Last Update Date 2015-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PR27887 ME Pharmacy Service Providers

Office Location

Street Address 500 W FORT ST
BUILDLING T111
City BOISE
State ID
Zip Code 83702-4501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063411007 Sandra Gee Jue Pharmacist 500 W Fort St, Bldg 44a, Boise, ID 83702-4501 2005-07-20
1952902389 Christine Alice Walsh Recreation Therapist 500 W Fort St, Boise, ID 83702-4501 2020-11-03
1386243160 Elizabeth Larsen Registered Nurse 500 W Fort St, Boise, ID 83702-4598 2020-10-22
1013516293 Rebecca Cotterell Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-10-20
1487253670 Morgan Wussow Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-10-20
1548867435 Justin Hyer Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-10-05
1881209336 Daniel James Councell Physician Assistant 500 W Fort St, Boise, ID 83702-4501 2020-09-11
1508470451 Marcus J Day Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-09-08
1386258291 Vanessa Potoski Registered Nurse 500 W Fort St, Boise, ID 83702-4501 2020-09-08
1033723788 Brian Lynn Lambrecht Licensed Practical Nurse 500 W Fort St, Boise, ID 83702-4501 2020-09-01
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Providers in the same zip code

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
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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
1417595067 Teresa Janeen Newsom Pharmacist 2840 S Swallowtail Ln, Boise, ID 83706-6138 2019-12-13
1932496650 Charlotte Loring Pharmacist 909 E Park Center B;vd, Boise, ID 83706 2011-07-01
1700435542 Kaitlyn Marie Holyfield Pharmacist 500 W Fort St, Boise, ID 83702-4501 2019-09-04
1861904153 Emily Muehlhausen Pharmacist 5005 W Overland Rd, Boise, ID 83705-2633 2017-10-26
1619350139 Sarah Mcclain Pharmacist 500 W Fort St, Boise, ID 83702-4501 2015-07-01
1043693609 Laura Schultz Pharmacist 500 W Fort St, Boise, ID 83702-4501 2015-07-01
1700294923 Anthony Nelson Pharmacist 500 W Fort St, Boise, ID 83702-4501 2014-07-31
1013339415 Lynnan Nielson Pharmacist 10255 W Overland Rd, Boise, ID 83709-1430 2014-01-20
1255670683 Savon Pharmacy Pharmacist 1653 S Vista Ave, Pharmacy, Boise, ID 83705-3172 2013-02-05
1609110089 Joshua M Gerving Pharmacist 500 W Fort St, Boise, ID 83702-4501 2012-11-26
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Competitor

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City BOISE
Zip Code 83702

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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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