Active NPI
Theresa Kathleen Allgood, B.S.
- Pharmacist
- Star, ID
National Provider Identifier
1467891697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P8284
- Practice address
- 210 N Highbrook Way
Star, ID 83669-6219 - Phone
- (208) 272-9450
- Fax
- (208) 272-9449
- NPI assigned
- Jun 20, 2013
- Last updated
- May 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 051.288300 | IL | |
| Pharmacist | 183500000X | P8284 | ID | Primary |
Addresses
Primary practice location
210 N Highbrook Way
Star, ID 83669-6219
Mailing address
3023 S Creek Pointe LN
Eagle, ID 83616-7186
Phone (847) 736-3490
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8284 | ID | MD | Pharmacist |
| 051.288300 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| American Drug Stores LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1467891697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 S CREEK POINTE LN",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167186",
"telephone_number": "847-736-3490",
"fax_number": "208-272-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N HIGHBROOK WAY",
"city": "STAR",
"state": "ID",
"postal_code": "836696219",
"telephone_number": "208-272-9450",
"fax_number": "208-272-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLGOOD",
"first_name": "THERESA",
"middle_name": "KATHLEEN",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.288300",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Star, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.