Active NPI
Kasey Harwick
- Pharmacy Technician
- Boise, ID
National Provider Identifier
1699257014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CT38764
- Practice address
- 8100 W Fairview Ave
Boise, ID 83704-8425 - Phone
- (208) 375-2825
- Fax
- (208) 375-2846
- NPI assigned
- Aug 31, 2018
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CT38764 | ID | Primary |
Addresses
Primary practice location
8100 W Fairview Ave
Boise, ID 83704-8425
Mailing address
8100 W Fairview Ave
Boise, ID 83704-8425
Phone (208) 375-2825
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT38764 | ID | MD | Pharmacy Technician |
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 and National Provider Directory roles.
-
- Pharmacy
- Boise, ID
- NPI 1881609907
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1699257014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048425",
"telephone_number": "208-375-2825",
"fax_number": "208-375-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048425",
"telephone_number": "208-375-2825",
"fax_number": "208-375-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWICK",
"first_name": "KASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "ID",
"license": "CT38764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.