Rachael Lynn Deffenbaugh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P9753 Issued in ID

Practice address

700 W Ironwood Dr Ste 246
Coeur D Alene, ID 83814-4473

Phone

(208) 625-5688

NPI assigned

Apr 1, 2017

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Rachael Lynn Wintermute Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kootenai Health, Inc.

  dba Kootenai Medical Center Group

  • Emergency Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1235288655
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05313

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1730100652
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05311

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1962513192
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1174055768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 246",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144473",
            "telephone_number": "208-625-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFFENBAUGH",
        "first_name": "RACHAEL",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9753",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60751105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "WINTERMUTE",
            "middle_name": "LYNN",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Ann De Smet, CRNP MS CAC
• Jonathan David Debooy, M.D.
• Melissa Decker
• Suzanne Marie Decker, APN
• Autumn B Deda
• Sarah Elizabeth Deines
• Adam Douglas Deluca, LMT
• Shelby Deluca
• Kristen Demaline, PHARMD
• Kayla Dematos, NP

• Pharmacist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.