Active NPI
William Silvius
- Geriatric Pharmacist
- Meridian, ID
National Provider Identifier
1255618641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- P4340
- Practice address
- 2950 E Magic View Dr
#190
Meridian, ID 83642-3154 - Phone
- (208) 887-1951
- NPI assigned
- Nov 14, 2011
- Last updated
- Mar 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | P4340 | ID | Primary |
| Geriatric Pharmacist | 1835G0303X | 36012 | CA |
Addresses
Primary practice location
2950 E Magic View Dr
#190
Meridian, ID 83642-3154
Mailing address
2950 E Magic View Dr
#190
Meridian, ID 83642-3154
Phone (208) 887-1951
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36012 | CA | MD | Periodontist |
| P4340 | ID | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmerica Mountain LLC | Past | Accepting new patients | |
| Pharmerica Mountain LLC | 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": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458950400000",
"number": "1255618641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 E MAGIC VIEW DR",
"address_2": "#190",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423154",
"telephone_number": "208-887-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 E MAGIC VIEW DR",
"address_2": "#190",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423154",
"telephone_number": "208-887-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVIUS",
"first_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-14",
"last_updated": "2016-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "ID",
"license": "P4340",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "36012",
"primary": false
}
],
"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 Mar 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.