Sally Myler, PHARMD
Individual provider Active NPI Pharmacist · Driggs, ID
NPI 1154878593 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1154878593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P5340 (ID)
- Practice address
- 10 S Main St
Driggs, ID 83422-9700 - Phone
- (208) 354-2334
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5340 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunters Incorporated | Past | Accepting new patients | |
| Hunters Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P5340 | ID | Yes |
Addresses
Primary practice location
10 S Main St
Driggs, ID 83422-9700
Mailing address
10 S Main St
Driggs, ID 83422-9700
Phone (208) 354-2334
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.