Active NPI
Brady J Dowding, PHARM.D. RPH
- Pharmacist
- Blackfoot, ID
National Provider Identifier
1164560546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5604
- Practice address
- 700 East Alice Street
State Hospital South Pharmacy
Blackfoot, ID 83221 - Phone
- (208) 785-8446
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- 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 | P5604 | ID | Primary |
Addresses
Primary practice location
700 East Alice Street
State Hospital South Pharmacy
Blackfoot, ID 83221
Mailing address
700 East Alice Street
PO Box 400, State Hospital South Pharmacy
Blackfoot, ID 83221
Phone (208) 785-8446
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5604 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164560546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 EAST ALICE STREET",
"address_2": "PO BOX 400, STATE HOSPITAL SOUTH PHARMACY",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "83221",
"telephone_number": "208-785-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 EAST ALICE STREET",
"address_2": "STATE HOSPITAL SOUTH PHARMACY",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "83221",
"telephone_number": "208-785-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDING",
"first_name": "BRADY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM.D. RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
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.