Active NPI
Rachel Newcomb, PHARMD
- Pharmacist
- Driggs, ID
National Provider Identifier
1497414494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10238
- Practice address
- 240 S Main St
Driggs, ID 83422-5401 - Phone
- (208) 643-3159
- NPI assigned
- Dec 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4347 | WY | |
| Pharmacist | 183500000X | P10238 | ID | Primary |
Addresses
Primary practice location
240 S Main St
Driggs, ID 83422-5401
Mailing address
311 Walnut St
Ashton, ID 83420-4904
Phone (307) 248-1900
Other practice location 1
118 Petersen Parkway
Thayne, WY 83127
Phone (307) 883-6337
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 |
|---|---|---|---|
| P10238 | ID | MD | Pharmacist |
| 4347 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith'S Food & Drug Centers 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
-
- Community/Retail Pharmacy
- Jackson, WY
- NPI 1912922543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1497414494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 WALNUT ST",
"city": "ASHTON",
"state": "ID",
"postal_code": "834204904",
"telephone_number": "307-248-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S MAIN ST",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834225401",
"telephone_number": "208-643-3159"
}
],
"practiceLocations": [
{
"address_1": "118 Petersen Parkway",
"address_purpose": "LOCATION",
"city": "Thayne",
"state": "WY",
"postal_code": "83127",
"country_code": "US",
"telephone_number": "307-883-6337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWCOMB",
"first_name": "RACHEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4347",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.