Individual provider Active NPI

Devon Hope

  • Pharmacist
  • Jerome, ID
National Provider Identifier
1275010092
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P7063 Issued in ID
Practice address
111 Pioneer CT Ste 2
Jerome, ID 83338-5193
Phone
(208) 324-2440
Fax
(208) 324-2165
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P7063 ID Primary

Addresses

Primary practice location

111 Pioneer CT Ste 2
Jerome, ID 83338-5193

Mailing address

111 Pioneer CT Ste 2
Jerome, ID 83338-5193
Phone (208) 324-2440

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

LicenseStateTypeSpecialty
P7063IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K2Red L.L.C. Past Accepting new patients
K2Red 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1275010092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PIONEER CT STE 2",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833385193",
            "telephone_number": "208-324-2440",
            "fax_number": "208-324-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PIONEER CT STE 2",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833385193",
            "telephone_number": "208-324-2440",
            "fax_number": "208-324-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPE",
        "first_name": "DEVON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerome, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.