Active NPI
Nancy A Lindberg, RPH
- Pharmacist
- Caldwell, ID
National Provider Identifier
1124314927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P4638
- Practice address
- 415 Cleveland Blvd
Caldwell, ID 83605-3627 - Phone
- (208) 459-0521
- Fax
- (208) 459-8506
- NPI assigned
- Jun 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P4638 | ID | Primary |
Addresses
Primary practice location
415 Cleveland Blvd
Caldwell, ID 83605-3627
Mailing address
415 Cleveland Blvd
Caldwell, ID 83605-3627
Phone (208) 459-0521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IDAHO | Medicaid | ID |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4638 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1124314927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CLEVELAND BLVD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836053627",
"telephone_number": "208-459-0521",
"fax_number": "208-459-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CLEVELAND BLVD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836053627",
"telephone_number": "208-459-0521",
"fax_number": "208-459-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "NANCY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P4638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IDAHO",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.