Active NPI
Jan Osterberg
- Pharmacist
- Meridian, ID
National Provider Identifier
1710267273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5533
- Practice address
- 4850 N Linder Rd
Meridian, ID 83646-6159 - Phone
- (208) 319-0047
- Fax
- (208) 319-0053
- NPI assigned
- Aug 27, 2011
- Last updated
- Aug 27, 2011
- 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 | P5533 | ID | Primary |
Addresses
Primary practice location
4850 N Linder Rd
Meridian, ID 83646-6159
Mailing address
4850 N Linder Rd
Meridian, ID 83646-6159
Phone (208) 319-0047
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 |
|---|---|---|---|
| P5533 | ID | MD | Pharmacist |
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": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1710267273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 N LINDER RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466159",
"telephone_number": "208-319-0047",
"fax_number": "208-319-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 N LINDER RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466159",
"telephone_number": "208-319-0047",
"fax_number": "208-319-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTERBERG",
"first_name": "JAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- Orthopaedic Trauma Consultants of Idaho (North Fork Orthopedic Surgery)
- Orthopedic Health Care Incorporated
- Sara Orton
- Kody Quentin Osborne, DMD
- Osteoarthritis Centers of America Medical Group PC (OsteoArthritis Centers of America)
- Mariya Rose Ostermiller, MPAS, PA-C
- Sis E Ostolasa, PA
- Marivin Oto, DDS
- Sophie Otradovec
- Barbara A Ottenhoff, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.