Individual provider Active NPI

Elizabeth Halcro, PHARMD

  • Pharmacist
  • Priest River, ID
National Provider Identifier
1194335406
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P8888 Issued in ID
Practice address
5453 Hwy 2
Priest River, ID 83856-8385
Phone
(208) 448-1633
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P8888 ID Primary

Addresses

Primary practice location

5453 Hwy 2
Priest River, ID 83856-8385

Mailing address

PO Box 458
Priest River, ID 83856-0458
Phone (208) 448-1633

Other practice location 1

1319 Highway 2 Ste A
Sandpoint, ID 83864-2729
Phone (208) 263-9080

Other practice location 2

31964 N 5th Ave
Spirit Lake, ID 83869-9472
Phone (208) 623-8485

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elizabethh@whitecrossrx.com

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
P8888IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deblaquiere Enterprises, Inc. PastSince Aug 9, 2020 Accepting new patients
Deblaquiere Enterprises Inc PastSince Dec 9, 2019 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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1194335406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838560458",
            "telephone_number": "208-448-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 HWY 2",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838568385",
            "telephone_number": "208-448-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Highway 2 Ste A",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838642729",
            "country_code": "US",
            "telephone_number": "208-263-9080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31964 N 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Spirit Lake",
            "state": "ID",
            "postal_code": "838699472",
            "country_code": "US",
            "telephone_number": "208-623-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALCRO",
        "first_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P8888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabethh@whitecrossrx.com",
            "affiliation": "N",
            "address_1": "5453 Hwy 2",
            "city": "Priest River",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Priest River, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.