AMANDA SAMPLE (NPI# 1891195137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891195137 |
| Entity Type | Individual |
| Full Name | AMANDA SAMPLE |
| Other Name | AMANDA SUE RABIDEAU |
| Credential | PHARM.D. |
| Practice Address |
10580 W Ustick Rd Store #5184 Boise ID 83704-5267 |
| Practice Telephone | 2083773581 |
| Mailing Telephone | 2083773581 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | I059211-1 | NY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | CS36244 | ID | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | P7083 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831409713 | Amanda E Sample | Case Manager/Care Coordinator | 5 Cumloden Dr, Falmouth, MA 02540-1605 | 2010-10-13 |
| 1043449820 | Amanda Jane Sample | Student in an Organized Health Care Education/Training Program | 2990 Mack Rd, Ste 110, Fairfield, OH 45014-5383 | 2009-07-14 |
| Street Address |
10580 W USTICK RD STORE #5184 |
| 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 |
| 1205289121 | Walgreens Pharmacy | Case Management | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2016-07-15 |
| 1629421540 | Qasida Gaid | Pharmacist | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2016-07-15 |
| 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 | 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 |
|---|---|---|---|---|
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1861044810 | Lauren Devine | Pharmacist | 2887 S Abbs Ln, Boise, ID 83705-4197 | 2019-07-10 |
| 1235799982 | Richard Lynn Howard | Pharmacist | 10709 W Treeline Ct, Boise, ID 83713-1861 | 2019-06-15 |
| 1679034656 | Niloufar Niknam | Pharmacist | 945 N Maple Grove Rd Apt 105, Boise, ID 83704-4292 | 2019-03-30 |
| 1982180220 | Serena Raquel Hand | Pharmacist | 500 E Baybrook Ct, Boise, ID 83706-3916 | 2018-07-18 |
| 1831638725 | Miren Davis | Pharmacist | 509 E Parkcenter Blvd, Apt 210, Boise, ID 83706-6684 | 2017-02-13 |
| 1447708052 | Dennis W Nelson | Pharmacist | 999 N Curtis Rd Ste 102, Boise, ID 83706-1331 | 2016-09-13 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1104277193 | Megan Kathleen Turner | Pharmacist | 500 W Fort St (119), Boise, ID 83702-4501 | 2016-06-30 |
| 1538519749 | Kristofer Kelly- James Lark | Pharmacist | 4709 W Kendall St, Boise, ID 83706-2224 | 2016-06-18 |
| 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.