DR. JORDIN MILLWARD (NPI# 1003477415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003477415 |
| Entity Type | Individual |
| Full Name | DR. JORDIN MILLWARD |
| Credential | PHARMD |
| Practice Address |
465 Memorial Dr Pocatello ID 83201-4008 |
| Practice Telephone | 2082823387 |
| Mailing Telephone | 2082413627 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P8363 | ID | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 777 Hospital Way, Pocatello, ID 832015175 | 2082391000 | |
| 990 S 8th Ave, Pocatello, ID 832090001 | 2082823407 |
| Street Address |
465 MEMORIAL DR |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578555603 | Nicole Murdock | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2005-08-16 |
| 1538785191 | Kailey Jo Murphy | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-19 |
| 1568087435 | Sye Speth | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-16 |
| 1376168013 | Martin Steele | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-09 |
| 1356965396 | Jokke Kokkonen | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-05 |
| 1649894692 | Richard John | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-05 |
| 1972127942 | Tyshae Jaggi | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-04 |
| 1003430174 | Emily Davis | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-03 |
| 1134743628 | Brandon Dean Comish | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2020-06-01 |
| 1598318792 | Brandon Griffin | Dentist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1801018718 | Cara Ann Liday | Pharmacist | Intermountain Medical Clinic, 1951 Bench Rd., Suite B, Pocatello, ID 83201 | 2007-05-02 |
| 1265424105 | Rex W Force | Pharmacist | Isu Box 8357, 465 Memorial Drive, Pocatello, ID 83209-0001 | 2005-08-17 |
| 1578555603 | Nicole Murdock | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2005-08-16 |
| 1235131004 | Paul S Cady | Pharmacist | 13 Temple Ave, Pocatello, ID 83201-3427 | 2005-08-11 |
| 1265434047 | Joseph F. Steiner | Pharmacist | Idaho State University College of Pharmacy, Campus Box 8288, Pocatello, ID 83209-0001 | 2005-08-11 |
| 1124670831 | Alex James Lystrup | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-07-12 |
| 1083148035 | Jordan Michael Ferro | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2017-04-17 |
| 1093156473 | Jora Sliwinski-heath | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2013-07-12 |
| 1902247380 | Kasidy Laree Mckay | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2013-07-12 |
| 1255699773 | John Thomas Holmes | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2012-05-03 |
| Find all providers in POCATELLO | ||||
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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.