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
- 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 and National Provider Directory roles.
-
- Pharmacy
- Meridian, ID
- NPI 1093953218
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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
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.