Timberline Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TIMBERLINE PHARMACY

Practice address

4574 N Ten Mile Rd Ste 110
Meridian, ID 83646-6930

Phone

(208) 616-1722

Fax

(208) 616-1863

NPI assigned

Oct 9, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Meier

Title

Manager

Phone

(801) 828-7389

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1013559269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171145",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841171145",
            "telephone_number": "801-828-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 N TEN MILE RD STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466930",
            "telephone_number": "208-616-1722",
            "fax_number": "208-616-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-828-7389"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Thurman, NURSE PRACTITIONER
• Elizabeth Puckett Thurmond, RN MSN AGACNP-BC
• Lauren Marie Tibbits, MD
• Heather Tiernan, PHARMD
• Chloe Tiersma, MAT, ATC, LAT
• Matea Tipuric, LMSW
• Alanna Tirado, LMSW
• TNT Aligned LLC
• Adrian Todd, OTR/L
• Chelsie Todd, DMD

• Community/Retail Pharmacy in Meridian, ID
• Providers in Meridian, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.