NICHOLAS JORDAN WOOD (NPI# 1952825325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952825325 |
| Entity Type | Individual |
| Full Name | NICHOLAS JORDAN WOOD |
| Credential | PHARMD |
| Practice Address |
6565 W Emerald St Boise ID 83704-8737 |
| Mailing Address |
5926 S Lowland View Way Boise ID 83709-6260 |
| Practice Telephone | 2085142512 |
| Practice Fax Number | 2085142513 |
| Mailing Telephone | 2083690985 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
P7790 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833290 | Nicholas Allen Wood | Dietitian, Registered | 10807 E Montgomery Dr, Spokane Valley, WA 99206-4777 | 2019-10-17 |
| 1164084265 | Nicholas Michael Wood | Technician | 1330 N Main St, Tennessee Ridge, TN 37178-4003 | 2019-06-28 |
| 1306198940 | Nicholas Wood | Licensed Vocational Nurse | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2012-10-05 |
| 1558617225 | Nicholas Aaron Wood | Psychologist | 2304 Edgmont Ave, Chester, PA 19013-5038 | 2012-07-31 |
| Street Address |
6565 W EMERALD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558328 | Bryan C Pogue Md | Family Medicine | 6565 W Emerald St, Boise, ID 83704-8737 | 2005-06-16 |
| 1174147565 | Kelly Segal | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2020-06-02 |
| 1104475870 | Kaysie M Murdock | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2019-09-05 |
| 1083069322 | Christopher S Link | Family Medicine | 6565 W Emerald St, Boise, ID 83704-8737 | 2016-04-24 |
| 1629457155 | Loren T Colson | Family Medicine | 6565 W Emerald St, Boise, ID 83704 | 2015-05-29 |
| 1396156675 | Chelsea Lynn Carlson | Family Medicine | 6565 W Emerald St, Boise, ID 83704-8737 | 2014-05-08 |
| 1891047791 | The Family Medicine Residency of Idaho Inc | Pharmacy | 6565 W Emerald St, Boise, ID 83704-8737 | 2012-10-03 |
| 1700172442 | Martha E Franz | Family Medicine | 6565 W Emerald St, Boise, ID 83704-8737 | 2011-06-21 |
| 1801978135 | Stephanie Dalton | Physician Assistant | 6565 W Emerald St, Boise, ID 83704-8737 | 2006-10-19 |
| 1811086424 | Sabrina Lynn Allen | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2006-10-12 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 1962965194 | Leanne Elizabeth Ertle | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2019-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873995 | John Bronsell Ryan Bronsell | Pharmacist | 427 12th St, Plummer, ID 83851-4000 | 2019-04-16 |
| 1750843579 | Joshua Joseph Davis | Pharmacist | 714 N College Rd Ste A, Twin Falls, ID 83301-5812 | 2019-04-01 |
| 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 |
| 1679923585 | Mark Romer | Pharmacist | 1600 N Main St, Meridian, ID 83642-1709 | 2016-06-21 |
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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.