Deborah Dianne Hanscom, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

P4926 Issued in ID

Practice address

1315 W Dundee St
Boise, ID 83706-4121

Phone

(208) 331-0922

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1497031777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W DUNDEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064121",
            "telephone_number": "208-331-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W DUNDEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064121",
            "telephone_number": "208-331-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSCOM",
        "first_name": "DEBORAH",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P4926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE BOARD OF PHARMACY",
            "identifier": "P4926",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST CONTROLLED SUBSTANCE LISCENSE",
            "identifier": "CS5507",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Haney
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• Julie J Hanksjones, R.D.,L.D.
• Lauren Teresa Hanlon, DO
• Nathan R Hannay, DO
• Ann Elizabeth Hansen, D.V.M., M.D.
• Ashley Hansen, M.S., SLP
• Bruce M Hansen, DO
• Caelin Hansen
• Christopher J Hansen, D.P.T.

• 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 31, 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.