Joshua Matt Redington, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P9681 Issued in ID

Practice address

10565 W Lake Hazel Rd
Boise, ID 83709-6326

Phone

(208) 319-0882

NPI assigned

Oct 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1205599230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E PENNSYLVANIA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064423",
            "telephone_number": "435-339-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 W LAKE HAZEL RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096326",
            "telephone_number": "208-319-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDINGTON",
        "first_name": "JOSHUA",
        "middle_name": "MATT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "10565 W Lake Hazel Rd",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837096326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaleb Redden, DO
• Kate Reddy, LCPC
• Nikhil P Reddy, M.D
• Seth Rede, LAT, ATC
• David Redinger, LAT, ATC
• Paul Charles Redmond, HIS
• Reed K Jarvis DDS PA
• Allison Reed, PHARMD
• Annmarie Reed, APRN
• Brittany J Reed, MS, LPC

• Pharmacist in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.