Active NPI
Selah Ora Nse Etim
- Pharmacist
- Meridian, ID
National Provider Identifier
1639096175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8081206
- Practice address
- 1570 E Fairview Ave
Meridian, ID 83642-1821 - Phone
- (208) 888-0034
- NPI assigned
- Jul 6, 2026
- Last updated
- Jul 6, 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 | 8081206 | ID | Primary |
Addresses
Primary practice location
1570 E Fairview Ave
Meridian, ID 83642-1821
Mailing address
1066 S Silverstone Way Apt D112
Meridian, ID 83642-1373
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1783296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1639096175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 S SILVERSTONE WAY APT D112",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 E FAIRVIEW AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421821",
"telephone_number": "208-888-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETIM",
"first_name": "SELAH",
"middle_name": "ORA NSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "8081206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.