Individual provider Active NPI

Lance Denning, PHARMD

  • Pharmacist
  • Ammon, ID
National Provider Identifier
1063769420
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P6663 Issued in ID
Practice address
2730 E Sunnyside Rd
Ammon, ID 83406-7547
Phone
(208) 522-3257
NPI assigned
Aug 4, 2012
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P6663 ID Primary

Addresses

Primary practice location

2730 E Sunnyside Rd
Ammon, ID 83406-7547

Mailing address

2730 E Sunnyside Rd
Ammon, ID 83406-7547
Phone (208) 522-3257

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

LicenseStateTypeSpecialty
P6663IDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1063769420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 E SUNNYSIDE RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067547",
            "telephone_number": "208-522-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 E SUNNYSIDE RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067547",
            "telephone_number": "208-522-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNING",
        "first_name": "LANCE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-04",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.