Active NPI
Brent William Springer, PHARMD
- Pharmacist
- Meridian, ID
National Provider Identifier
1174078695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P7540
- Practice address
- 1570 E Fairview Ave
Meridian, ID 83642-1821 - Phone
- (208) 888-0034
- NPI assigned
- Aug 25, 2016
- Last updated
- Aug 25, 2016
- 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 | P7540 | ID | Primary |
Addresses
Primary practice location
1570 E Fairview Ave
Meridian, ID 83642-1821
Mailing address
4425 E Thomas Mill Dr
Nampa, ID 83686-3021
Phone (801) 636-1702
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 |
|---|---|---|---|
| P7540 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1174078695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 E THOMAS MILL DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836863021",
"telephone_number": "801-636-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 E FAIRVIEW AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421821",
"telephone_number": "208-888-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "BRENT",
"middle_name": "WILLIAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
- Spinal DRS Inc. (Spinal Dynamics Chiropractic)
- Spinal Dynamics Chiropractic and Rehabilitation Specialists, Inc.
- Spine Institute of Idaho P a
- Spring Creek Idaho, LLC
- Spring Gardens Meridian Opco LLC
- Ryan Spritzer
- Michelle Marie Spurlock, CPM, LM
- SSF Psychological Services PLLC
- St Alphonsus Regional Medical Center Inc (St Alphonsus Rehabilitation Services)
- St Luke's Elks Children's Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.