BROOKE BENSON (NPI# 1750821005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750821005 |
| Entity Type | Individual |
| Full Name | BROOKE BENSON |
| Credential | PHARMD |
| Practice Address |
10600 W Fairview Ave Boise ID 83713-8065 |
| Practice Telephone | 2083220962 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P7576 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023100336 | Brooke Lynn Benson | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2006-09-28 |
| 1619500923 | Brooke Marie Benson | Physician Assistant | 1050 Division St, Mauston, WI 53948-1931 | 2020-02-14 |
| 1629571617 | Brooke Elizabeth Benson | Behavior Technician | 1500 E Capitol Ave Ste 200, Bismarck, ND 58501-2001 | 2018-03-15 |
| 1407385008 | Brooke Kathleen Benson | Counselor | 16201 90th St Ne Ste 200, Otsego, MN 55330-7464 | 2017-06-07 |
| 1356604144 | Brooke Danielle Benson | Family Medicine | 1112 N Main St, Summerville, SC 29483-7315 | 2012-06-18 |
| 1073774816 | Brooke Denise Benson | Dentist | 700 S Clinton St, #202, Chicago, IL 60607-4350 | 2008-06-24 |
| Street Address |
10600 W FAIRVIEW AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83713-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295048825 | Lang Lemmon | Pharmacist | 10600 W Fairview Ave, Boise, ID 83713-8065 | 2010-07-25 |
| 1225445877 | Carolyn Parker | Pharmacist | 10600 W Fairview Ave, Boise, ID 83713-8065 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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.