The Pharmacy Doctor, Inc.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

P3993 Issued in ID

Legal business name

THE PHARMACY DOCTOR, INC.

Practice address

1471 Shoreline Dr
Suite 100
Boise, ID 83702-6879

Phone

(208) 386-9292

Fax

(208) 386-9494

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Samuel A. Hoagland, ATTORNEY

Title

President

Phone

(208) 386-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528052008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 SHORELINE DR",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026879",
            "telephone_number": "208-386-9292",
            "fax_number": "208-386-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 SHORELINE DR",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026879",
            "telephone_number": "208-386-9292",
            "fax_number": "208-386-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHARMACY DOCTOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOAGLAND",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-386-9292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ID",
            "license": "P3993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Natural Alternative Midwivery Practice LLC
• The Neighborhood Clinic, LLC
• The Pain Center
• The Pain Center
• The Pediatric and Adolescent Center, Inc.
• The PT Next Door
• The Red Fox Group
• The Regents of the University of Idaho
• The Shoulder Clinic of Idaho PLLC
• The Spaulding Home LLC

• Pharmacotherapy Pharmacist in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacotherapy Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.