Active NPI
Michelle M Feldtman, PHARM D
- Pharmacist
- Meridian, ID
National Provider Identifier
1508065814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P4984
- Practice address
- 3150 W Cherry LN
Meridian, ID 83642-1122 - Phone
- (208) 319-2312
- Fax
- (208) 319-2316
- NPI assigned
- Jul 16, 2007
- 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 | 183500000X | P4984 | ID | Primary |
Addresses
Primary practice location
3150 W Cherry LN
Meridian, ID 83642-1122
Mailing address
3150 W Cherry LN
Meridian, ID 83642-1122
Phone (208) 319-2312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P4984 | Other | ID | STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| P4984 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3150 W Cherry Ln
Meridian, ID 83642
Phone (208) 319-2310
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1508065814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421122",
"telephone_number": "208-319-2312",
"fax_number": "208-319-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421122",
"telephone_number": "208-319-2312",
"fax_number": "208-319-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDTMAN",
"first_name": "MICHELLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P4984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "P4984",
"state": "ID"
}
],
"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 Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.