Active NPI
Misty Helenbolt, PHARMD
- Pharmacist
- Boise, ID
National Provider Identifier
1124594387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4232
- Practice address
- 7402 W Fairview Ave
Boise, ID 83704-8411 - Phone
- (307) 371-6549
- NPI assigned
- Oct 15, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P8157 | ID | |
| Pharmacist | 183500000X | 4232 | WY | Primary |
Addresses
Primary practice location
7402 W Fairview Ave
Boise, ID 83704-8411
Mailing address
7402 W Fairview Ave
Boise, ID 83704-8411
Phone (307) 371-6549
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 |
|---|---|---|---|
| P8157 | ID | MD | Pharmacist |
| 4232 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1124594387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7402 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048411",
"telephone_number": "307-371-6549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7402 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048411",
"telephone_number": "307-371-6549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELENBOLT",
"first_name": "MISTY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8157",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.