DR. C. DUSTIN WATERS (NPI# 1780804435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780804435 |
| Entity Type | Individual |
| Full Name | DR. C. DUSTIN WATERS |
| Credential | PHARMD |
| Practice Address |
1055 N Curtis Rd Boise ID 83706-1309 |
| Mailing Address |
10042 W Garverdale Dr Apt 102 Boise ID 83704-8026 |
| Practice Telephone | 2083673436 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P6019 | ID | Pharmacy Service Providers |
| Street Address |
1055 N CURTIS RD |
| City | BOISE |
| State | ID |
| Zip Code | 83706-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235122284 | Christopher Jay Sjoberg | Nurse Practitioner | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2005-08-24 |
| 1689287021 | Brian Jones | Nurse Anesthetist, Certified Registered | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2020-08-25 |
| 1346868759 | Rhianna Wallace | Occupational Therapist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2020-07-12 |
| 1447877824 | Chelsea Zipse | Pharmacist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2020-07-01 |
| 1770105181 | Eric Munoz Quiroz | Pharmacist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2020-05-08 |
| 1477197036 | Megan Lenkersdorfer | Hospitalist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-11-06 |
| 1104477967 | Paul David Cochran | Nurse Anesthetist, Certified Registered | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-09-24 |
| 1649820259 | Monica Marie Mclain | Pharmacist | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-09-16 |
| 1619526613 | Calan Szmyd | Genetic Counselor, MS | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-09-11 |
| 1922650613 | Allison A. Martinez | Nurse Anesthetist, Certified Registered | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679817811 | Robert Wills | Pharmacist | 1001 W Resseguie St, Boise, ID 83702-4106 | 2012-11-10 |
| 1528052008 | The Pharmacy Doctor, Inc. | Pharmacist | 1471 Shoreline Dr, Suite 100, Boise, ID 83702-6879 | 2005-09-09 |
| 1700396975 | Michael Tyler Hemsley | Pharmacist | 805 W Franklin St, Boise, ID 83702-5560 | 2017-10-02 |
| 1902068133 | Lindsay M Black | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2008-06-29 |
| 1013127109 | Catherine M Oliphant | Pharmacist | 300 E Jefferson St, Suite 201, Boise, ID 83712-6246 | 2007-05-23 |
| 1023237583 | Catherine A Gundlach | Pharmacist | 190 E Bannock St, Inpatient Pharmacy, Boise, ID 83712-6241 | 2007-04-24 |
| 1407071277 | Jim V Nguyen | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2007-04-16 |
| 1346259132 | Jared J Alexander | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2006-08-08 |
| 1720021132 | Stephanie Shumaker | Pharmacist | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-14 |
| 1134173073 | Rodney Gerald Simon | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2006-05-22 |
| 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.