Active NPI
Jeremy Alan Hunter, PHARM. D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Twin Falls, ID
National Provider Identifier
1205064342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- P6200
- Practice address
- 731 Pole Line Rd
Twin Falls, ID 83301-3036 - Phone
- (208) 736-1725
- NPI assigned
- Jun 28, 2009
- Last updated
- May 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6200 | ID | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P6200 | ID | Primary |
Addresses
Primary practice location
731 Pole Line Rd
Twin Falls, ID 83301-3036
Mailing address
306 Blue Lakes Blvd N
Twin Falls, ID 83301-4827
Phone (208) 734-4053
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 |
|---|---|---|---|
| P6200 | ID | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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": "1246147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1205064342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 BLUE LAKES BLVD N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014827",
"telephone_number": "208-734-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 POLE LINE RD",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013036",
"telephone_number": "208-736-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "JEREMY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-28",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6200",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "ID",
"license": "P6200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.