Active NPI
Justin Messenger, PHARM.D.
- Pharmacist
- Idaho Falls, ID
National Provider Identifier
1720376882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6512
- Practice address
- 2325 Coronado St
Idaho Falls, ID 83404-7407 - Phone
- (208) 557-2738
- NPI assigned
- Jul 11, 2011
- Last updated
- Mar 17, 2018
- Sex
- Male
- 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 | P6512 | ID | Primary |
Addresses
Primary practice location
2325 Coronado St
Idaho Falls, ID 83404-7407
Mailing address
723 E 97TH N
Idaho Falls, ID 83401-5590
Phone (208) 221-0246
Other practice location 1
1725 E 1st St
Idaho Falls, ID 83401
Phone (208) 419-4684
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6512 | 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": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1720376882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 E 97TH N",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015590",
"telephone_number": "208-221-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 CORONADO ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047407",
"telephone_number": "208-557-2738"
}
],
"practiceLocations": [
{
"address_1": "1725 E 1st St",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "83401",
"country_code": "US",
"telephone_number": "208-419-4684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESSENGER",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.