NATHAN BOLANDER (NPI# 1669854931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669854931 |
| Entity Type | Individual |
| Full Name | NATHAN BOLANDER |
| Practice Address |
570 S State St Shelley ID 83274-1470 |
| Practice Telephone | 2083570473 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P7270 | ID | Pharmacy Service Providers |
| Street Address |
570 S STATE ST |
| City | SHELLEY |
| State | ID |
| Zip Code | 83274-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870911 | Broulim Supermarkets, LLC | Pharmacy | 570 S State St, Shelley, ID 83274-1470 | 2007-02-22 |
| 1790032548 | Timothy Elray Allen | Pharmacist | 570 S State St, Shelley, ID 83274-1470 | 2012-08-11 |
| 1942579404 | Blaine L Wilding | Pharmacist | 570 S State St, Shelley, ID 83274-1470 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976045 | Tyson Hanson | Respite Care | 1496 N 1070 E, Sheley, ID 83274 | 2020-06-10 |
| 1760631949 | Curtis W Carpenter | Dentist | 295 Anderson Rd, Shelley, ID 83274 | 2008-09-12 |
| 1093908741 | Helmsman Services LLC | Community/Behavioral Health | 175 W. Pine St, Shelley, ID 83274 | 2007-08-24 |
| 1871620906 | John R Stohl | Dentist | 530 S State St, Shelley, ID 83274 | 2007-02-27 |
| 1366542391 | Blackfoot Medical Clinic, Inc | Family Medicine | 210 S Emerson St, Shelley, ID 83274 | 2006-09-22 |
| 1174775902 | Shelley Dental, Inc | Dentist | 530 S State St, Shelley, ID 83274 | 2008-10-10 |
| 1043724990 | Randall Searle | Chiropractor | 120 N Emerson Ave, Shelley, ID 83274-1105 | 2017-11-29 |
| 1215437751 | Elevated Life Family Chiropractic Pllc | Chiropractor | 120 N Emerson Ave, Shelley, ID 83274-1105 | 2018-02-20 |
| 1780784769 | Parkway Eyecare PC | Optometrist | 524 N State St, Shelley, ID 83274-1154 | 2006-09-22 |
| 1962436253 | Travis R Wilkins | Chiropractor | 528 N State St, Shelley, ID 83274-1154 | 2006-07-10 |
| Find all providers in zip 83274 | ||||
| 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 |
|---|---|---|---|---|
| 1710075635 | Ty W. Swensen | Pharmacist | 965 October Cv, Shelley, ID 83274-5069 | 2006-10-10 |
| 1790032548 | Timothy Elray Allen | Pharmacist | 570 S State St, Shelley, ID 83274-1470 | 2012-08-11 |
| 1942579404 | Blaine L Wilding | Pharmacist | 570 S State St, Shelley, ID 83274-1470 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1932713765 | Richard Lee Wilgus | Pharmacist | 131 W Cameron Ave, Kellogg, ID 83837-2359 | 2020-08-31 |
| 1194335406 | Elizabeth Halcro | Pharmacist | 5453 Hwy 2, Priest River, ID 83856-8385 | 2020-08-03 |
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1467071811 | Cassidy Paige Howarth | Pharmacist | 5861 Victor Meadows Dr, Victor, ID 83455-5482 | 2020-04-15 |
| 1477186542 | Mark David Johnston | Pharmacist | 1683 E Myrtle Beach Ct, Eagle, ID 83616-5366 | 2020-02-18 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1437795259 | Paul Charles Villaret | Pharmacist | 1855 N Groveland Pl, Eagle, ID 83616-4275 | 2019-11-27 |
| 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.