Individual provider Active NPI

Ashley M Durham, PHARMD

  • Pharmacist
  • Boise, ID
National Provider Identifier
1174896716
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P-6706 Issued in ID
Practice address
8921 W Hackamore Dr
Boise, ID 83709
Phone
(208) 994-4123
Fax
(800) 431-6309
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X P6706 ID
Pharmacotherapy Pharmacist 1835P1200X 1-13791 KS
Pharmacist 183500000X P-6706 ID Primary

Addresses

Primary practice location

8921 W Hackamore Dr
Boise, ID 83709

Mailing address

8921 W Hackamore Dr
Boise, ID 83709
Phone (208) 994-4123

Other practice location 1

8921 W Hackamore Dr
Boise, ID 83709-1673
Phone (208) 697-3018

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

LicenseStateTypeSpecialty
P-6706IDMDPharmacist
P6706IDMDPharmacotherapy Pharmacist
1-13791KSMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Occupational Medicine & Neurosurgical Spine Institute LLC CurrentSince Nov 26, 2023 Accepting new patients
Durham Family Medicine, PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

8921 W Hackamore Dr
Boise, ID 83709
Phone (208) 375-1105

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBDDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1174896716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-994-4123",
            "fax_number": "800-431-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 W HACKAMORE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83709",
            "telephone_number": "208-994-4123",
            "fax_number": "800-431-6309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8921 W Hackamore Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837091673",
            "country_code": "US",
            "telephone_number": "208-697-3018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2023-11-21",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "P6706",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KS",
            "license": "1-13791",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P-6706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.