Organization Active NPI

Tandem Pharmacy, LLC

  • Pharmacy
  • Boise, ID
National Provider Identifier
1508542689
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
TANDEM PHARMACY, LLC
Practice address
1020 W Main St # 100C
Boise, ID 83702-5789
Phone
(208) 254-0154
NPI assigned
Jun 23, 2023
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Sahir Jaggi
Title
President & Chief Executive Officer
Phone
(917) 855-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1020 W Main St # 100C
Boise, ID 83702-5789

Mailing address

73 Spring St FL 3a
New York, NY 10012-5801

National Provider Directory

National Provider Directory

Locations

1020 W Main St
#100C
Boise, ID 83702
Phone (208) 254-0154

73 Spring St
Fl 3A
New York, NY 10012

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1508542689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SPRING ST FL 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W MAIN ST # 100C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025789",
            "telephone_number": "208-254-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "JAGGI",
        "authorized_official_first_name": "SAHIR",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "917-855-7172"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "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 Jun 3, 2025; 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.