BRUCE R STANGER (NPI# 1730471319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730471319 |
| Entity Type | Individual |
| Full Name | BRUCE R STANGER |
| Credential | RPH |
| Practice Address |
2051 S Cole Rd Boise ID 83709-2815 |
| Mailing Address |
2294 N Kubik Pl Meridian ID 83646-1286 |
| Practice Telephone | 2083238707 |
| Mailing Telephone | 2088988848 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
P3573 | ID | Pharmacy Service Providers |
| Street Address |
2051 S COLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324299 | Scott Ryan Lewis | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2005-08-24 |
| 1093109787 | Costco Wholesale Corporation | Hearing Aid Equipment | 2051 S Cole Rd, Boise, ID 83709-2815 | 2015-03-20 |
| 1063803278 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2051 S Cole Rd, Boise, ID 83709-2815 | 2015-02-10 |
| 1942591649 | Joni S Waldram | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-28 |
| 1528359361 | Audra R. Mccoy | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-27 |
| 1881985836 | Jill Lance | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-26 |
| 1568640423 | John Randall Pitman | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2008-02-03 |
| 1437346483 | Philip David Rainey | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2007-10-03 |
| 1023131927 | J. Randall Pitman & Associates, P.C. | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2007-04-08 |
| 1417067026 | Costco Wholesale Corporation | Pharmacy | 2051 S Cole Rd, Boise, ID 83709 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1508245937 | Jefferson Bohan | Pharmacist | 500 W Fort St, Buildling T111, Boise, ID 83702-4501 | 2015-05-19 |
| 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 |
| 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.