Adan Ortiz, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P9737 Issued in ID

Practice address

306 Blue Lakes Blvd N
Twin Falls, ID 83301-4827

Phone

(208) 734-4053

NPI assigned

Jun 5, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Twin Falls, ID
  • NPI 1780699801
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1407585664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W BASELINE RD",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833508312",
            "telephone_number": "208-650-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BLUE LAKES BLVD N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014827",
            "telephone_number": "208-734-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 W Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833508312",
            "country_code": "US",
            "telephone_number": "208-650-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ADAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Helen Ordway, LMSW
• Sonya Sue Orr, NP
• Jessica Orsland
• Jesus Ortega, CADC
• Orthopro of Twin Falls, Inc
• Shelly Marie Osborne, LCPC
• Melissa Dawn Osen, LCSW
• Shane Michael Osgood, ATC, CEAS
• Joseph Eldon Ostler, M.D., PH.D.
• Paul G. Ostyn, MPT, MA

• Pharmacist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.