DR. VINMANATHAN NAIDOO (NPI# 1578857983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578857983 |
| Entity Type | Individual |
| Full Name | DR. VINMANATHAN NAIDOO |
| Credential | PHARMD |
| Practice Address |
1650 W State St Boise ID 83702-4040 |
| Practice Telephone | 2083448669 |
| Practice Fax Number | 2083431343 |
| Mailing Telephone | 2083448669 |
| Mailing Fax Number | 2083431343 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5858 | ID | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0011519 | OR | Pharmacy Service Providers |
| Street Address |
1650 W STATE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841246352 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1650 W State St, Boise, ID 83702-4040 | 2006-05-26 |
| 1902451412 | Michael Harvey | Pharmacist | 1650 W State St, Boise, ID 83702-4040 | 2019-08-02 |
| 1447717145 | Kaci Kyle | Pharmacy Technician | 1650 W State St, Boise, ID 83702-4040 | 2019-02-28 |
| 1356825152 | Jessica Hoover | Pharmacist | 1650 W State St, Boise, ID 83702-4040 | 2018-09-18 |
| 1174003305 | Alysa Lei Marie Tabacchi | Pharmacist | 1650 W State St, Boise, ID 83702-4040 | 2018-08-16 |
| 1982123758 | Nathan Spann | Pharmacist | 1650 W State St, Boise, ID 83702-4040 | 2017-09-13 |
| 1114213865 | Mark A Araki | Pharmacist | 1650 W State St, Boise, ID 83702-4040 | 2011-06-21 |
| 1811141179 | Timothy Ryan Flynn | Pharmacist | 1650 W State St, Boise, ID 83702-4040 | 2008-11-12 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1861044810 | Lauren Devine | Pharmacist | 2887 S Abbs Ln, Boise, ID 83705-4197 | 2019-07-10 |
| 1235799982 | Richard Lynn Howard | Pharmacist | 10709 W Treeline Ct, Boise, ID 83713-1861 | 2019-06-15 |
| 1679034656 | Niloufar Niknam | Pharmacist | 945 N Maple Grove Rd Apt 105, Boise, ID 83704-4292 | 2019-03-30 |
| 1982180220 | Serena Raquel Hand | Pharmacist | 500 E Baybrook Ct, Boise, ID 83706-3916 | 2018-07-18 |
| 1831638725 | Miren Davis | Pharmacist | 509 E Parkcenter Blvd, Apt 210, Boise, ID 83706-6684 | 2017-02-13 |
| 1447708052 | Dennis W Nelson | Pharmacist | 999 N Curtis Rd Ste 102, Boise, ID 83706-1331 | 2016-09-13 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1104277193 | Megan Kathleen Turner | Pharmacist | 500 W Fort St (119), Boise, ID 83702-4501 | 2016-06-30 |
| 1538519749 | Kristofer Kelly- James Lark | Pharmacist | 4709 W Kendall St, Boise, ID 83706-2224 | 2016-06-18 |
| 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.