Ian Kenneth Anderson, PHARMD
Individual provider Active NPI Oncology Pharmacist · Caldwell, ID
NPI 1629930722 · NPPES record last updated Nov 26, 2025
Key facts
- NPI
- 1629930722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oncology Pharmacist 1835X0200X
- License
- P9239 (ID)
- Practice address
- 3123 Medical Dr
Caldwell, ID 83605-6972 - Phone
- (208) 367-3131
- NPI assigned
- Nov 26, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9239 | ID | MD | Oncology Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | P9239 | ID | Yes |
Addresses
Primary practice location
3123 Medical Dr
Caldwell, ID 83605-6972
Mailing address
3123 Medical Dr
Caldwell, ID 83605-6972
Phone (208) 367-3131
Other providers in Caldwell, ID
- Ametrine Counseling and Wellness, LLP
- Beth Larae Amos
- Anchor Place, LLC
- Ciara Joann Anderson
- Daniel Rulon Anderson
- Robert Jay Anderson
- Anesthesia Consulting Partners Idaho, PC
- Stephen Annest
- Christina L Anthony
- Andrea Barbera Anzalone
All providers in Caldwell, ID · Oncology Pharmacist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.