Active NPI
Mary Whitney, RPH
- Pharmacist
- Rathdrum, ID
National Provider Identifier
1528513819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60642381
- Practice address
- 12884 W Burlington Rd
Rathdrum, ID 83858-8824 - Phone
- (208) 582-0593
- NPI assigned
- Aug 17, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60642381 | WA | Primary |
| Pharmacist | 183500000X | P5046 | ID |
Addresses
Primary practice location
12884 W Burlington Rd
Rathdrum, ID 83858-8824
Mailing address
12884 W Burlington Rd
Rathdrum, ID 83858-8824
Phone (208) 582-0593
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5046 | ID | MD | Pharmacist |
| 60642381 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1528513819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12884 W BURLINGTON RD",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838588824",
"telephone_number": "208-582-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12884 W BURLINGTON RD",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838588824",
"telephone_number": "208-582-0593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "MARY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60642381",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5046",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rathdrum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.