Active NPI
Jennalyn Joy Crapuchettes, PHARMD
- Pharmacist
- Nampa, ID
National Provider Identifier
1609480912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P9016
- Practice address
- 175 S Middleton Rd
Nampa, ID 83686-8124 - Phone
- (208) 546-3396
- Fax
- (208) 546-3338
- NPI assigned
- Sep 3, 2020
- Last updated
- Aug 27, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P9016 | ID | Primary |
Addresses
Primary practice location
175 S Middleton Rd
Nampa, ID 83686-8124
Mailing address
175 S Middleton Rd
Nampa, ID 83686-8124
Phone (208) 546-3396
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 |
|---|---|---|---|
| P9016 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1609480912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 S MIDDLETON RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836868124",
"telephone_number": "208-546-3396",
"fax_number": "208-546-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S MIDDLETON RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836868124",
"telephone_number": "208-546-3396",
"fax_number": "208-546-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAPUCHETTES",
"first_name": "JENNALYN",
"middle_name": "JOY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P9016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.