MRS. CAMILLE MARIE NULPH (NPI# 1154535664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154535664 |
| Entity Type | Individual |
| Full Name | MRS. CAMILLE MARIE NULPH |
| Credential | PHARM D |
| Practice Address |
4240 Yellowstone Avenue Walmart Pharmacy Chubbuck ID 83202 |
| Mailing Address |
2438 Skylar Rd Pocatello ID 83201-7708 |
| Practice Telephone | 2082375091 |
| Mailing Telephone | 2082325175 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P6032 | ID | Pharmacy Service Providers |
| Street Address |
4240 YELLOWSTONE AVENUE WALMART PHARMACY |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| 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 |
| 1952513046 | Michelle Lee Steed | Pharmacist | 1106 W Ironwood Dr, Coeur D Alene, ID 83814-2480 | 2007-05-03 |
| 1801018718 | Cara Ann Liday | Pharmacist | Intermountain Medical Clinic, 1951 Bench Rd., Suite B, Pocatello, ID 83201 | 2007-05-02 |
| 1306875794 | Jim Allen | Pharmacist | 5658 E Maple Creek Rd, Franklin, ID 83237-5102 | 2006-06-30 |
| 1528052008 | The Pharmacy Doctor, Inc. | Pharmacist | 1471 Shoreline Dr, Suite 100, Boise, ID 83702-6879 | 2005-09-09 |
| 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 |
| 1609871474 | Wade H Flowers Jr. | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
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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.