DR. MARK ROMER (NPI# 1679923585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679923585 |
| Entity Type | Individual |
| Full Name | DR. MARK ROMER |
| Credential | PHARMD |
| Practice Address |
1600 N Main St Meridian ID 83642-1709 |
| Practice Telephone | 2088887311 |
| Mailing Telephone | 2088887311 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
P7383 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578675799 | Mark Alan Romer | Dentist | 9840 Nw 20th Pl, Sunrise, FL 33322-3642 | 2006-09-01 |
| 1023058427 | Mark D Romer | Internal Medicine | 3120 Governors Place Blvd, Dayton, OH 45409-1328 | 2006-06-07 |
| Street Address |
1600 N MAIN ST |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608122 | J Holden | Pharmacist | 1600 N Main St, Meridian, ID 83642-1709 | 2020-01-10 |
| 1851818793 | Shawn Robison | Pharmacist | 1600 N Main St, Meridian, ID 83642-1709 | 2017-08-22 |
| 1871018598 | Brittany Jordan Dennis | Pharmacist | 1600 N Main St, Meridian, ID 83642-1709 | 2017-08-03 |
| 1730334830 | Jason David Dalling | Pharmacist | 1600 N Main St, Meridian, ID 83642-1709 | 2008-11-18 |
| 1013106327 | Mark Smith | Pharmacist | 1600 N Main St, Meridian, ID 83642-1709 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528575453 | Joshua Todd Bishop | Pharmacist | 4715 W Deer Path Dr, Boise, ID 83714-8873 | 2017-12-31 |
| 1851944151 | Catherine Smith | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2019-07-17 |
| 1043873995 | John Bronsell Ryan Bronsell | Pharmacist | 427 12th St, Plummer, ID 83851-4000 | 2019-04-16 |
| 1962965194 | Leanne Elizabeth Ertle | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2019-04-14 |
| 1750843579 | Joshua Joseph Davis | Pharmacist | 714 N College Rd Ste A, Twin Falls, ID 83301-5812 | 2019-04-01 |
| 1952825325 | Nicholas Jordan Wood | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2017-07-27 |
| 1063944726 | Mandi Nordhagen | Pharmacist | 700 W Ironwood Dr, Suite 228, Coeur D Alene, ID 83814-2656 | 2017-03-31 |
| 1679004675 | Jamie Cervi-skinner | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-22 |
| 1982144424 | Carissa Hober | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-02 |
| 1124470794 | Colt Darley | Pharmacist | 103 E College Ave, St Maries, ID 83861-2247 | 2016-07-07 |
| 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.