Individual provider Active NPI

Grace Anne Lawrence, PHARMD, CGP

  • Psychiatric Pharmacist
  • Boise, ID
National Provider Identifier
1487642245
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
P5050 Issued in ID
Practice address
10464 Garverdale CT
Suite 706
Boise, ID 83704-5410
Phone
(208) 323-1259
Fax
(208) 323-5666
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P5050 ID
Pharmacotherapy Pharmacist 1835P1200X P5050 ID
Psychiatric Pharmacist 1835P1300X P5050 ID Primary

Addresses

Primary practice location

10464 Garverdale CT
Suite 706
Boise, ID 83704-5410

Mailing address

2555 E Plateau Dr
Boise, ID 83712-7562
Phone (208) 890-6811

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

LicenseStateTypeSpecialty
P5050IDMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487642245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 E PLATEAU DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127562",
            "telephone_number": "208-890-6811",
            "fax_number": "208-424-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10464 GARVERDALE CT",
            "address_2": "SUITE 706",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045410",
            "telephone_number": "208-323-1259",
            "fax_number": "208-323-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "GRACE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5050",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "P5050",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "ID",
            "license": "P5050",
            "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 11, 2025; 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.