Paul Espinoza
Individual provider Active NPI Pharmacy Technician · Nampa, ID
NPI 1306327697 · NPPES record last updated Aug 24, 2018
Key facts
- NPI
- 1306327697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- TT42443 (ID)
- Practice address
- 700 12TH Ave S
Nampa, ID 83651-4255 - Phone
- (208) 467-1560
- NPI assigned
- Aug 24, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TT42443 | ID | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TT42443 | ID | Yes |
Addresses
Primary practice location
700 12TH Ave S
Nampa, ID 83651-4255
Mailing address
700 12TH Ave S
Nampa, ID 83651-4255
Phone (208) 467-1560
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.