Active NPI
Lynne Svedin, PHARM D
- Pharmacist
- Nampa, ID
National Provider Identifier
1629795372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5240
- Practice address
- 215 E Hawaii Ave Ste 160
Nampa, ID 83686-6011 - Phone
- (208) 466-7823
- Fax
- (208) 466-8429
- NPI assigned
- Oct 24, 2022
- 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 | P5240 | ID | Primary |
Addresses
Primary practice location
215 E Hawaii Ave Ste 160
Nampa, ID 83686-6011
Mailing address
7833 S Robinson Rd
Melba, ID 83641-6035
Phone (208) 919-5115
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 |
|---|---|---|---|
| P5240 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddish Pharmacy 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Nampa, ID
- NPI 1295847135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1629795372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7833 S ROBINSON RD",
"city": "MELBA",
"state": "ID",
"postal_code": "836416035",
"telephone_number": "208-919-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E HAWAII AVE STE 160",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866011",
"telephone_number": "208-466-7823",
"fax_number": "208-466-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVEDIN",
"first_name": "LYNNE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5240",
"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 Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.