Rico Lynn Pelazini, PHARM D, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

P6263 Issued in ID

Practice address

6725 N Glenwood St
Boise, ID 83714-1926

Phone

(208) 319-1271

Fax

(208) 319-1274

NPI assigned

Oct 18, 2011

Sex

Male

Sole proprietor

Yes

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, Registered Pharmacist

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
  • Boise, ID
  • NPI 1134134257
  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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1467737767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 N GLENWOOD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141926",
            "telephone_number": "208-319-1271",
            "fax_number": "208-319-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 N GLENWOOD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141926",
            "telephone_number": "208-319-1271",
            "fax_number": "208-319-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAZINI",
        "first_name": "RICO",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM D, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Surgery of Idaho
• Ariane Diola Pedida
• Peer Recovery Supports of Idaho
• Weston Peine, DO
• Alyssa Pekas, MS
• Vitaliy Pelikhatyy, O.D
• Angela Dawn Pellant, MD
• Catherine R Pellizzari, LCSW
• Janet McReynolds Pelton, FNP
• Michael Pelton, M.D.

• Pharmacist in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.