Thomas Smith, Pharmacist
Pharmacist in Boise, ID. Individual provider (NPI-1).
NPI number1184377673
StatusActive
Last updated in NPPESFeb 3, 2022
Details
- NPI
- 1184377673
- Entity type
- Individual (NPI-1)
- Name
- Thomas Smith
- Credential
- Pharmacist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2022
- Certification date
- Feb 3, 2022
- Last updated
- Feb 3, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P9854 | ID | Yes |
Practice location
1515 W State StBoise, ID 83702-4039
Phone 208-345-7684
Mailing address
19621 10th Dr SeBothell, WA 98012-7765
Phone 425-381-7164
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 493 Pharmacist providers in Boise · All 12,265 providers in Boise
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