Active NPI
Jennifer Horton, PHARM.D.
- Pharmacist
- Idaho Falls, ID
National Provider Identifier
1497043798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6438
- Practice address
- 590 E 17TH St
Idaho Falls, ID 83404-6154 - Phone
- (208) 523-1090
- NPI assigned
- Jul 20, 2011
- 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 | P6438 | ID | Primary |
Addresses
Primary practice location
590 E 17TH St
Idaho Falls, ID 83404-6154
Mailing address
1098 Petersburg Ave
Chubbuck, ID 83202-3014
Phone (208) 201-1459
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 |
|---|---|---|---|
| P6438 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1497043798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 PETERSBURG AVE",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832023014",
"telephone_number": "208-201-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046154",
"telephone_number": "208-523-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "JENNIFER",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.