WALGREENS PHARMACY (NPI# 1205289121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205289121 |
| Entity Type | Organization |
| Organization Name | WALGREENS PHARMACY |
| Practice Address |
10580 W Ustick Rd Boise ID 83704-5267 |
| Practice Telephone | 2083773581 |
| Mailing Telephone | 2083773581 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | SHENELL PAWER (MANGER) |
| Authorized Official Telephone | 2083538026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | PP7517 | ID | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659775260 | Walgreens Pharmacy | Pharmacist | 4986 Common Market Pl, Dublin, OH 43016-9192 | 2014-10-10 |
| 1447510730 | Walgreens Pharmacy | Pharmacy | 12600 Tamiami Trl S, North Port, FL 34287-1974 | 2012-05-21 |
| 1225313901 | Walgreens Pharmacy | Pharmacy | 399 West Main St, Norwich, CT 06360 | 2011-10-13 |
| 1194008516 | Walgreens Pharmacy | Pharmacist | 9 Altemus Dr, Landenberg, PA 19350-1357 | 2011-09-21 |
| 1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
| 1194052449 | Walgreens Pharmacy | Pharmacist | 731 W. Beltline, Desoto, TX 75115 | 2009-11-06 |
| 1437366572 | Walgreens Pharmacy | Pharmacy | 201 Mathistown Road, Little Egg Harbor, NJ 08087 | 2007-05-17 |
| 1407302383 | Walgreens Pharmacy | Pharmacy | 1501 W Cumberland St, Dunn, NC 28334 | 2016-08-30 |
| 1568915080 | Walgreens Pharmacy | Pharmacist | 2190 Shattuck Ave, Unit 309, Berkeley, CA 94704-1307 | 2016-08-02 |
| 1053786749 | Walgreens Pharmacy | Pharmacy | 5888 W Sunset Rd Ste 200, Las Vegas, NV 89118-3453 | 2015-12-07 |
| Street Address |
10580 W USTICK RD |
| City | BOISE |
| State | ID |
| Zip Code | 83704-5267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457368441 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2006-08-02 |
| 1336622182 | Rachel Nickerson | Pharmacy Technician | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2018-09-07 |
| 1629421540 | Qasida Gaid | Pharmacist | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2016-07-15 |
| 1891195137 | Amanda Sample | Pharmacist | 10580 W Ustick Rd, Store #5184, Boise, ID 83704-5267 | 2014-08-22 |
| 1588924047 | Cadie Brechbuhler | Pharmacist | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2012-05-17 |
| 1326323775 | Ryan F Lytle | Pharmacist | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2011-10-17 |
| 1962787630 | Benjamin Watkins | Pharmacist | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2011-10-13 |
| 1720363617 | Vicki Potts | Pharmacist | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2011-10-12 |
| 1376839290 | Patricia Ann Patterson | Pharmacist | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588199277 | Pride Mental Health LLC | Case Management | 8310 W Ustick Rd, Suite 300, Boise, ID 83704-5979 | 2017-05-01 |
| 1982045464 | Agency for Cultural Alliance, LLC | Case Management | 1655 W Fairview Ave Ste 103, Boise, ID 83702-5173 | 2013-07-11 |
| 1285078949 | Brighter Future Health Inc | Case Management | 9196 W Emerald St Ste 135, Boise, ID 83704-8004 | 2013-04-24 |
| 1396094918 | Premiere Case Management | Case Management | 518 N 8th St, Boise, ID 83702-5515 | 2012-08-29 |
| 1699081984 | A Better Life Behavioral Health Services, Inc. | Case Management | 4696 W. Overland Rd., 224, Boise, ID 83705-8103 | 2010-08-24 |
| 1740502830 | Leyline Advocates, LLC | Case Management | 250 W Bobwhite Ct Ste 230, Boise, ID 83706-6656 | 2010-02-17 |
| 1518192970 | A Better Life Mental Health and Addictions Services | Case Management | 2309 N Mountain View Dr, Suite#167, Boise, ID 83706-1000 | 2009-05-28 |
| 1184880924 | Idaho Behavioral Health, Inc. | Case Management | 2273 S. Vista, Suite 190, Boise, ID 83705 | 2008-07-31 |
| 1740463132 | Idaho Center for Autism, LLC | Case Management | 5353 Franklin Rd, Boise, ID 83705-1112 | 2007-12-10 |
| 1194915082 | Cornerstone Psychological Associates, Pllc | Case Management | 1755 Westgate Dr Ste 260, Boise, ID 83704-7176 | 2007-07-27 |
| 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.