Active NPI
Zachary E Blanchard, PHARMD
- Pharmacist
- Boise, ID
National Provider Identifier
1407314636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P9380
- Practice address
- 11660 W Executive Dr
Boise, ID 83713-8996 - Phone
- (208) 323-0303
- Fax
- (208) 375-3916
- NPI assigned
- Mar 6, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | E45234 | ID | |
| Pharmacist | 183500000X | P9380 | ID | Primary |
Addresses
Primary practice location
11660 W Executive Dr
Boise, ID 83713-8996
Mailing address
11660 W Executive Dr
Boise, ID 83713-8996
Phone (208) 323-0303
Other practice location 1
801 S Vista Ave
Boise, ID 83705-2424
Phone (208) 364-7777
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 |
|---|---|---|---|
| E45234 | ID | MD | Pharmacist |
| P9380 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coram Alternate Site Services 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 and National Provider Directory roles.
-
- Home Infusion Therapy Pharmacy
- Malvern, PA
- NPI 1598714503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1407314636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11660 W EXECUTIVE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837138996",
"telephone_number": "208-323-0303",
"fax_number": "208-375-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11660 W EXECUTIVE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837138996",
"telephone_number": "208-323-0303",
"fax_number": "208-375-3916"
}
],
"practiceLocations": [
{
"address_1": "801 S Vista Ave",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837052424",
"country_code": "US",
"telephone_number": "208-364-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCHARD",
"first_name": "ZACHARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-06",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "E45234",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P9380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.