Active NPI
Anthony J Lenz, RPH
- Pharmacist
- Meridian, ID
National Provider Identifier
1205125762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5491
- Practice address
- 1850 E. Fairview Ave.
1850 E. Fairview Ave.
Meridian, ID 83642 - Phone
- (208) 887-5273
- Fax
- (208) 887-5267
- NPI assigned
- Apr 5, 2011
- 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 | P5491 | ID | Primary |
Addresses
Primary practice location
1850 E. Fairview Ave.
1850 E. Fairview Ave.
Meridian, ID 83642
Mailing address
1850 E. Fairview Ave.
1850 E. Fairview Ave.
Meridian, ID 83642
Phone (208) 887-5273
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5491 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1205125762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E. FAIRVIEW AVE.",
"address_2": "1850 E. FAIRVIEW AVE.",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-887-5273",
"fax_number": "208-887-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E. FAIRVIEW AVE.",
"address_2": "1850 E. FAIRVIEW AVE.",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-887-5273",
"fax_number": "208-887-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5491",
"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 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.