JOHN MICHAEL AMINI (NPI# 1578629069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578629069 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL AMINI |
| Credential | R.PH |
| Practice Address |
2790 W Cherry Ln Ste 100 Meridian ID 83642-1102 |
| Mailing Address |
4722 N Eagle Pointe Pl Star ID 83669-5361 |
| Practice Telephone | 2082881496 |
| Practice Fax Number | 2082881812 |
| Mailing Telephone | 2089540309 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH 00016378 | WA | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P6728 | ID | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH 00016378 | WA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
P6728 | ID | Pharmacy Service Providers |
| Street Address |
2790 W CHERRY LN STE 100 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108504 | Kevin White | Pharmacist | 2790 W Cherry Ln Ste 100, Meridian, ID 83642-1102 | 2017-11-17 |
| 1932550282 | Dawn Hughes | Pharmacist | 2790 W Cherry Ln Ste 100, Meridian, ID 83642 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255714879 | Kristin Helmboldt | Pharmacist | 2309 E Cyanite Dr, Meridian, ID 83642-9072 | 2015-07-01 |
| 1699206524 | Anne Marie Guthrie | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2017-03-22 |
| 1629472980 | Joanie Chesnutt | Pharmacist | 1415 24th Ave, Meridian, MS 39301 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1417595067 | Teresa Janeen Newsom | Pharmacist | 2840 S Swallowtail Ln, Boise, ID 83706-6138 | 2019-12-13 |
| 1932480431 | Amy Anne Mcdougal | Pharmacist | 1066 N Yellowstone Hwy, Rexburg, ID 83440-5103 | 2011-08-30 |
| 1932496650 | Charlotte Loring | Pharmacist | 909 E Park Center B;vd, Boise, ID 83706 | 2011-07-01 |
| 1215237144 | Jacqueline K Kavila | Pharmacist | 2809 E. Cleveland Blvd, Caldwell, ID 83605 | 2010-10-26 |
| 1508096777 | Kim E. Tillery | Pharmacist | 2638 Longbow Dr, Twin Falls, ID 83301-8946 | 2009-07-21 |
| 1093314866 | Gregory Aaron Carter | Pharmacist | 2327 Coronado St, Idaho Falls, ID 83404-7407 | 2020-10-22 |
| 1316544604 | James K Hunter | Pharmacist | 301 Aspen Sq, Saint Anthony, ID 83445-1662 | 2020-10-08 |
| 1629689799 | Tanna Marie Schlader | Pharmacist | 50 2nd St S, Nampa, ID 83651-3700 | 2020-08-12 |
| 1184233579 | Kathlene Elizabeth Bailey | Pharmacist | 3050 E Mullan Ave, Post Falls, ID 83854-8939 | 2020-07-30 |
| 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.