Active NPI
Jane Gennrich, PHARMD
- Pharmacist
- Meridian, ID
National Provider Identifier
1043338825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P4997
- Practice address
- 2054 S Silverstone Way
Meridian, ID 83642-8108 - Phone
- (208) 887-1951
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P4997 | ID | Primary |
| Pharmacist | 183500000X | 41041 | CA | |
| Pharmacist | 183500000X | 9530 | NV |
Addresses
Primary practice location
2054 S Silverstone Way
Meridian, ID 83642-8108
Mailing address
5526 N Schubert Ave
Meridian, ID 83642-4733
Phone (208) 888-6559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4997 | ID | MD | Pharmacist |
| 9530 | NV | MD | Pharmacist |
| 41041 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmerica Mountain LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043338825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 N SCHUBERT AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424733",
"telephone_number": "208-888-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2054 S SILVERSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428108",
"telephone_number": "208-887-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNRICH",
"first_name": "JANE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P4997",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41041",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "9530",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- Gemstate Pharmacy Group Inc (MediCap LTC Pharmacy)
- Gen State Integrative Medicine
- Amir Samir Zakhary Gendy, M.D.
- Genesis Service Dogs Inc
- Genesis Surgical Assisting LLC
- Katherine Jane Gentry, M.D.
- Robert E Gentry, DC
- Geoffrey N Swanson MD PA (Ada Medical Associates)
- Kyle Ronald George, P.A.-C
- Michaela George, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.