Active NPI
Caitlin Trisler, PHARMD
- Pharmacist
- Boise, ID
National Provider Identifier
1205200821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P8099
- Practice address
- 1915 W State St
Boise, ID 83702 - Phone
- (208) 515-2211
- NPI assigned
- Nov 19, 2015
- Last updated
- Sep 20, 2018
- 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 | P8099 | ID | Primary |
Addresses
Primary practice location
1915 W State St
Boise, ID 83702
Mailing address
1915 W State St
Boise, ID 83702-3958
Other practice location 1
5400 Sand Point Way NE
Seattle, WA 98105-2941
Phone (206) 524-2211
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 |
|---|---|---|---|
| P8099 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Customedica Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Customedica Pharmacy North End
- Community/Retail Pharmacy
- Boise, ID
- NPI 1982159133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1205200821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837023958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "83702",
"telephone_number": "208-515-2211"
}
],
"practiceLocations": [
{
"address_1": "5400 Sand Point Way NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981052941",
"country_code": "US",
"telephone_number": "206-524-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRISLER",
"first_name": "CAITLIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
- Trinity Mountain Health (Trinity Home Care and Resource)
- Trinity Transport
- Dana J Triplitt
- Madeline Tripp
- Travis S Tripp, CRNA
- Trista E Pottenger, DMD PLLC (High Desert Dental)
- Trivium Life Services Mountain West, LLC (Recovery 4 Life)
- Francois D Trotta, MD, PA
- Ann Decker Trotter, PHD
- Betty R Trounson, RDLD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.