Madison Celeste Egeberg, Pharm.D.
Pharmacist in Twin Falls, ID. Individual provider (NPI-1).
NPI number1336719632
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1336719632
- Entity type
- Individual (NPI-1)
- Name
- Madison Celeste Egeberg
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
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 | Pending | ID | Yes |
Practice location
801 Pole Line Rd WTwin Falls, ID 83301-5810
Phone 208-814-1000
Mailing address
801 Pole Line Rd WTwin Falls, ID 83301-5810
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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 102 Pharmacist providers in Twin Falls · All 2,311 providers in Twin Falls
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