CASEY HAYCOCK (NPI# 1003475443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003475443 |
| Entity Type | Individual |
| Full Name | CASEY HAYCOCK |
| Credential | CPHT |
| Practice Address |
10500 W Overland Rd Boise ID 83709-1435 |
| Practice Telephone | 2083764101 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | CT20939 | ID | Pharmacy Service Providers |
| Street Address |
10500 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578519088 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 10500 W Overland Rd, Boise, ID 83709 | 2006-05-26 |
| 1033510789 | Jordan Porter | Pharmacist | 10500 W Overland Rd, Boise, ID 83709-1435 | 2014-09-12 |
| 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 | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980017 | Andrea Johnson Murray | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-10-19 |
| 1740819127 | Lindzee Searle | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2020-04-07 |
| 1093355224 | Charles Painter | Pharmacy Technician | 250 E Parkcenter Blvd, Boise, ID 83706-3940 | 2020-01-15 |
| 1811559685 | Jordan Elwell | Pharmacy Technician | 1653 S Vista Ave, Boise, ID 83705 | 2019-07-02 |
| 1437718111 | Rosalba Loera | Pharmacy Technician | 1219 S Broadway Ave, Boise, ID 83706-3701 | 2019-06-06 |
| 1447717145 | Kaci Kyle | Pharmacy Technician | 1650 W State St, Boise, ID 83702-4040 | 2019-02-28 |
| 1336622182 | Rachel Nickerson | Pharmacy Technician | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2018-09-07 |
| 1699257014 | Kasey Harwick | Pharmacy Technician | 8100 W Fairview Ave, Boise, ID 83704-8425 | 2018-08-31 |
| 1659852267 | Kelly Jone Liera | Pharmacy Technician | 8100 W Fairview Ave, Boise, ID 83704-8425 | 2018-08-22 |
| 1518969328 | Tami Monica Stone | Pharmacy Technician | 190 E Bannock St, Boise, ID 83712-6241 | 2005-08-11 |
| 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.