Individual provider Active NPI

Aimee Joy Wedmore, PHARMD, RPH

  • Pharmacist
  • Hayden, ID
National Provider Identifier
1730727454
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
77915 Issued in CA
Practice address
260 W Honeysuckle Ave
Hayden, ID 83835-9270
Phone
(087) 620-1852
NPI assigned
Dec 12, 2019
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77915 CA Primary

Addresses

Primary practice location

260 W Honeysuckle Ave
Hayden, ID 83835-9270

Mailing address

260 W Honeysuckle Ave
Hayden, ID 83835-9270
Phone (208) 762-0185

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
77915CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jan 26, 2025 Accepting new patients
Walgreen Co PastSince Jan 26, 2025 Accepting new patients
Garfield Beach CVS, L.L.C. PastSince Dec 1, 2019 Accepting new patients

Locations

260 W Honeysuckle Ave
Hayden, ID 83835
Phone (208) 762-0185

Organizations & group practices 3

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1730727454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W HONEYSUCKLE AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359270",
            "telephone_number": "208-762-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W HONEYSUCKLE AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359270",
            "telephone_number": "087-620-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDMORE",
        "first_name": "AIMEE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.