DR. PAUL W. OTTO (NPI# 1407850399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407850399 |
| Entity Type | Individual |
| Full Name | DR. PAUL W. OTTO |
| Credential | PHARM.D. |
| Practice Address |
444 Hospital Way Ste 801 Pocatello ID 83201-2792 |
| Mailing Address |
4582 W Portneuf Rd Inkom ID 83245-1626 |
| Practice Telephone | 2082326214 |
| Practice Fax Number | 2082333416 |
| Mailing Telephone | 2087753262 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5603 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949909 | Paul E Otto | Student in an Organized Health Care Education/Training Program | 999 N 92nd St Ste C730, Wauwatosa, WI 53226-4875 | 2020-03-27 |
| 1407932718 | Paul Stearns Otto | Psychologist | 205 W Clay St, Ukiah, CA 95482-5452 | 2006-10-29 |
| 1275547846 | Paul Edwin Otto | Dentist | 233 Southbound Gratiot, Mount Clemens, MI 48043-2413 | 2006-07-28 |
| 1437213659 | Paul Delbert Otto | Counselor | 470 W. Cleveland, Saint Johns, AZ 85936-0579 | 2006-12-21 |
| Street Address |
444 HOSPITAL WAY STE 801 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396202388 | Matthew Coleman | Registered Nurse | 444 Hospital Way, Pocatello, ID 83201-2745 | 2019-02-26 |
| 1386091387 | Sabrina Tallon | Hearing Instrument Specialist | 444 Hospital Way, Pocatello, ID 83201-2745 | 2016-05-19 |
| 1639526932 | Cindy Wade | Counselor | 444 Hospital Way, Ste 477, Pocatello, ID 83201-2745 | 2016-05-17 |
| 1467826115 | Shannon O'donnell | Counselor | 444 Hospital Way, Ste 477, Pocatello, ID 83201-2745 | 2015-11-18 |
| 1730564576 | Devin Livesay | Pharmacist | 444 Hospital Way, Ste 801, Pocatello, ID 83201-2745 | 2015-07-22 |
| 1093101438 | Meridian Family Medicine | Nurse Practitioner | 444 Hospital Way, Room 219, Pocatello, ID 83209-2745 | 2015-04-13 |
| 1275952418 | Sterling White | Pharmacist | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2014-04-15 |
| 1740609346 | Jason Morris | Pharmacist | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2014-04-10 |
| 1447674213 | Sy Williams | Social Worker | 444 Hospital Way, Pocatello, ID 83201-2745 | 2014-02-13 |
| 1114289618 | Rhonda Lynn Dutcher-barfuss | Clinic/Center | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2012-06-11 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1619523420 | Eric L Thomas | Pharmacist | 319 Roosevelt Ave, Pocatello, ID 83201-5025 | 2019-08-16 |
| 1265996003 | Emilee Risher | Pharmacist | 2442 Shayla Pl, Pocatello, ID 83201-7016 | 2019-01-25 |
| 1659855450 | Cheyanne Jane Williams | Pharmacist | 1465 Bannock Hwy, Pocatello, ID 83204-5077 | 2018-09-18 |
| 1760907869 | Rebecca Hoover | Pharmacist | 921 S 8th Ave Stop 8288, Pocatello, ID 83209-0002 | 2017-08-09 |
| 1457753394 | Allison Ann Cardona | Pharmacist | 26 Columbia St, Pocatello, ID 83201-3458 | 2014-09-23 |
| 1699191478 | Martin Joseph Reed | Pharmacist | 388 Filmore Ave, Pocatello, ID 83201 | 2014-03-17 |
| 1639506033 | Victoria Autumn Gombert Hayes | Pharmacist | 921 S 8th Ave Stop 8333, Isu College of Pharmacy, Pocatello, ID 83209-8333 | 2013-09-30 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1720346018 | Cara Mccoy | Pharmacist | 5901 Country Club Dr, Pocatello, ID 83204-4631 | 2012-04-24 |
| 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.