Active NPI
Amy S Isaacs, PHARM.D
- Pharmacist
- Meridian, ID
National Provider Identifier
1174967012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6730
- Practice address
- 800 S Industry Way
Ste 240
Meridian, ID 83642-3059 - Phone
- (208) 884-0669
- Fax
- (208) 884-4976
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- 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 | P6730 | ID | Primary |
Addresses
Primary practice location
800 S Industry Way
Ste 240
Meridian, ID 83642-3059
Mailing address
800 S Industry Way
Ste 240
Meridian, ID 83642-3059
Phone (208) 884-0669
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 |
|---|---|---|---|
| P6730 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1174967012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S INDUSTRY WAY",
"address_2": "STE 240",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423059",
"telephone_number": "208-884-0669",
"fax_number": "208-884-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S INDUSTRY WAY",
"address_2": "STE 240",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423059",
"telephone_number": "208-884-0669",
"fax_number": "208-884-4976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "AMY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.