Active NPI
Madison Motzner, PHARMD
- Pharmacist
- Nampa, ID
National Provider Identifier
1457086837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10142
- Practice address
- 9850 W St Lukes Dr
Nampa, ID 83687-7912 - Phone
- (208) 205-7155
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10142 | ID | Primary |
Addresses
Primary practice location
9850 W St Lukes Dr
Nampa, ID 83687-7912
Mailing address
2642 N Lapis Ave
Meridian, ID 83646-1558
Phone (208) 316-2068
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 |
|---|---|---|---|
| P10142 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1457086837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2642 N LAPIS AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461558",
"telephone_number": "208-316-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 W ST LUKES DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877912",
"telephone_number": "208-205-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTZNER",
"first_name": "MADISON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
- Joseph M. Mortensen, MD
- Marissa Mortensen, DPT
- Faith Virginia Morton Phelps
- Eric Christopher Moss, PA
- Cooper Motyer
- Samantha Jane Moulder
- Mountain Sage Counseling LLC
- Mountain States Chemical Dependency and Counseling Services
- Mountain States Chemical Dependency and Counseling Services
- Mountain States Chemical Dependency and Counseling Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.