DR. JESSE VANWART


Address: 1512 12th Ave Rd, Nampa, ID 83686-6008
Phone: 2084635360

DR. JESSE VANWART (NPI# 1336388974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336388974
Entity Type Individual
Full Name DR. JESSE VANWART
Credential PHARMD
Practice Address 1512 12th Ave Rd
Nampa
ID 83686-6008
Practice Telephone 2084635360
Practice Fax Number 2084635018
Mailing Telephone 2084635360
Enumeration Date 2009-02-04
Last Update Date 2009-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist P5930 ID Pharmacy Service Providers

Office Location

Street Address 1512 12TH AVE RD
City NAMPA
State ID
Zip Code 83686-6008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013905355 Steve Edward Roberts Anesthesiology 1512 12th Ave Rd, Nampa, ID 83686-6008 2005-10-11
1295141992 Jane Stroebel Pharmacist 1512 12th Ave Rd, Nampa, ID 83686-6008 2014-07-02
1881973899 Olawale Olaniyi Internal Medicine 1512 12th Ave Rd, Nampa, ID 83686-6008 2011-08-08
1730407461 Sound Physicians of Idaho Family Medicine 1512 12th Ave Rd, Nampa, ID 83686-6008 2010-05-05
1821229279 Patrick Daniel Vargas Villazon Internal Medicine 1512 12th Ave Rd, Nampa, ID 83686-6008 2009-08-03
1275772758 James M Ineck Pharmacist 1512 12th Ave Rd, Nampa, ID 83686-6008 2009-02-06
1942461850 Joseph M. Mortensen Anesthesiology 1512 12th Ave Rd, Nampa, ID 83686-6008 2008-06-23
1235260845 Donald G Rau Radiology 1512 12th Ave Rd, Nampa, ID 83686-6008 2007-03-07
1083751366 Jeffrey Wayne Grossman Radiology 1512 12th Ave Rd, Nampa, ID 83686-6008 2007-01-30
1104972983 Mercy Physician Group Inc. Internal Medicine 1512 12th Ave Rd, Nampa, ID 83686-6008 2007-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184255960 Kristine Lynn Fitts-eisenbrandt Social Worker 270 W. Gerogia Ave., Nampa, ID 83686 2020-01-30
1669025706 Vitality Family Chiropractic, Pllc Chiropractor 3189 E Greenhurst Rd, Nampa, ID 83686 2019-07-18
1871150185 King's Peak Investments, Inc. Substance Abuse Rehabilitation Facility 8898 Idaho 45, Nampa, ID 83686 2019-05-22
1154805786 Jmj Nampa LLC Dentist 914 12th Ave Rd, Nampa, ID 83686 2018-09-19
1518448703 Michel Cox Pharmacy Technician 2219 12th Ave S, Nampa, ID 83686 2018-08-24
1437504909 5 Peppers Inc Family Medicine 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 2016-05-03
1811369549 Anna Stoia Physician Assistant 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
1144699307 Jamie Green Social Worker 112 12th Avenue Rd., Nampa, ID 83686 2015-09-17
1174927933 Bower Chiropractic Inc Chiropractor 304 12th Ave Rd, Nampa, ID 83686 2014-10-22
1285037093 Rosemary Phelps Registered Nurse 353 W. Iowa, Nampa, ID 83686 2014-10-07
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588117436 Elizabeth Mangeac Pharmacist 175 S Middleton Rd, Nampa, ID 83686-8124 2016-07-27
1326455429 Michelle Murchie Pharmacist 175 S. Middleton Rd, Nampa, ID 83651 2014-07-21
1437498235 George Turgoose Pharmacist 2219 12th Avenue, Nampa, ID 83686 2013-02-14
1700143872 Victor F Allen Pharmacist 1603a 12th Ave Rd, Nampa, ID 83686 2012-04-13
1851667182 Amanda R Harrison Pharmacist 16700 N Marketplace Blvd, Nampa, ID 83687-7909 2012-03-30
1942574678 Keely Gregory Pharmacist 215 E Hawaii Ave Ste 100, Nampa, ID 83686 2012-02-27
1225329287 Denise Ann Graveline Pharmacist 16700 N Marketplace, Nampa, ID 83644 2011-04-26
1700183209 Bette Robbins Pharmacist 118 S Midland Blvd, Nampa, ID 83686-2601 2011-02-17
1720384878 Susan Kemp Pharmacist 16300 N Market Place Blvd, Nampa, ID 83687-7910 2011-02-08
1457673741 Michael Rixford Proudfoot Pharmacist 1813 Caldwell Blvd, Nampa, ID 83651-1505 2010-02-27
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Competitor

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City NAMPA
Zip Code 83686

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Dataset Information

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.

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