Active NPI
Angela McCamish, PHARMACIST
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Boise, ID
National Provider Identifier
1497054894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- P5618
- Practice address
- 3527 S Federal Way
Fred Meyer Pharmacy
Boise, ID 83705-5204 - Phone
- (208) 424-7533
- Fax
- (208) 424-7527
- NPI assigned
- Mar 24, 2011
- Last updated
- Mar 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P5618 | ID | Primary |
Addresses
Primary practice location
3527 S Federal Way
Fred Meyer Pharmacy
Boise, ID 83705-5204
Mailing address
3527 S Federal Way
Fred Meyer Pharmacy
Boise, ID 83705
Phone (208) 424-7533
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5618 | ID | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | 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": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1497054894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 S FEDERAL WAY",
"address_2": "FRED MEYER PHARMACY",
"city": "BOISE",
"state": "ID",
"postal_code": "83705",
"telephone_number": "208-424-7533",
"fax_number": "208-424-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 S FEDERAL WAY",
"address_2": "FRED MEYER PHARMACY",
"city": "BOISE",
"state": "ID",
"postal_code": "837055204",
"telephone_number": "208-424-7533",
"fax_number": "208-424-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAMISH",
"first_name": "ANGELA",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "ID",
"license": "P5618",
"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 Mar 24, 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.