Individual provider Active NPI

Charles Ashton

  • Pharmacist
  • Meridian, ID
National Provider Identifier
1497201255
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P5987 Issued in ID
Practice address
3355 E Louise Dr
Meridian, ID 83642-5047
Phone
(208) 288-4341
Fax
(208) 288-4374
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P5987 ID Primary

Addresses

Primary practice location

3355 E Louise Dr
Meridian, ID 83642-5047

Mailing address

12605 W Lanktree Gulch Rd
Star, ID 83669-5170
Phone (208) 514-8423

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

LicenseStateTypeSpecialty
P5987IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HB Ventures RX LLC Past Accepting new patients
Portico Pharmacy 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1497201255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 W LANKTREE GULCH RD",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695170",
            "telephone_number": "208-514-8423",
            "fax_number": "208-288-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 E LOUISE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425047",
            "telephone_number": "208-288-4341",
            "fax_number": "208-288-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHTON",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.