Venetta Jean Christopherson, PHARMD, CGP
Individual provider Active NPI Geriatric Pharmacist · Pocatello, ID
NPI 1164585857 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164585857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- P5129 (ID)
- Practice address
- 436 E Bonneville
Pocatello, ID 83201 - Phone
- (208) 233-3466
- Fax
- (208) 234-9686
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| P5129 | ID | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Living Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | P5129 | ID | Yes |
Addresses
Primary practice location
436 E Bonneville
Pocatello, ID 83201
Mailing address
5480 Country Club Dr
Pocatello, ID 83204-4681
Phone (208) 233-1464
Other providers in Pocatello, ID
- McKenzie Dawn Christensen
- Natalie Chase Christensen
- Wallace Lloyd Christensen
- Channing Christiansen
- Melissa Christoffersen
- Christy Kelshaw
- McHale Chriswell
- Kimberly Cibrian
- City Creek Counseling, LLC
- Clair Enterprises Inc
All providers in Pocatello, ID · Geriatric Pharmacist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.