THE PHARMACY DOCTOR, INC. (NPI# 1528052008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528052008 |
| Entity Type | Organization |
| Organization Name | THE PHARMACY DOCTOR, INC. |
| Practice Address |
1471 Shoreline Dr Suite 100 Boise ID 83702-6879 |
| Practice Telephone | 2083869292 |
| Practice Fax Number | 2083869494 |
| Mailing Telephone | 2083869292 |
| Mailing Fax Number | 2083869494 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SAMUEL A. HOAGLAND (PRESIDENT) |
| Authorized Official Telephone | 2083869292 |
| Authorized Official Credential | ATTORNEY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P3993 | ID | Pharmacy Service Providers |
| Street Address |
1471 SHORELINE DR SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609078104 | Michael E. Estess | Psychiatry & Neurology | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-06-05 |
| 1558585455 | Michael E. Estess, M. D. Chartered | Preferred Provider Organization | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-04-12 |
| 1003030099 | Michael E. Estess | Psychiatry & Neurology | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-04-12 |
| 1376766378 | Timothy J Collias | Social Worker | 1471 Shoreline Dr, Suite 119, Boise, ID 83702-6879 | 2007-04-10 |
| 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 | 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 |
|---|---|---|---|---|
| 1679817811 | Robert Wills | Pharmacist | 1001 W Resseguie St, Boise, ID 83702-4106 | 2012-11-10 |
| 1700396975 | Michael Tyler Hemsley | Pharmacist | 805 W Franklin St, Boise, ID 83702-5560 | 2017-10-02 |
| 1902068133 | Lindsay M Black | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2008-06-29 |
| 1013127109 | Catherine M Oliphant | Pharmacist | 300 E Jefferson St, Suite 201, Boise, ID 83712-6246 | 2007-05-23 |
| 1780804435 | C. Dustin Waters | Pharmacist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2007-04-26 |
| 1023237583 | Catherine A Gundlach | Pharmacist | 190 E Bannock St, Inpatient Pharmacy, Boise, ID 83712-6241 | 2007-04-24 |
| 1407071277 | Jim V Nguyen | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2007-04-16 |
| 1346259132 | Jared J Alexander | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2006-08-08 |
| 1720021132 | Stephanie Shumaker | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-14 |
| 1134173073 | Rodney Gerald Simon | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2006-05-22 |
| 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.