Active NPI
Joshua William Gehrke, PHARM.D
- Pharmacist
- Blackfoot, ID
National Provider Identifier
1750665238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6289
- Practice address
- 960 W Bridge St
Blackfoot, ID 83221-1912 - Phone
- (208) 412-4017
- NPI assigned
- Oct 3, 2011
- Last updated
- Oct 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17664 | NV | |
| Pharmacist | 183500000X | P6289 | ID | Primary |
Addresses
Primary practice location
960 W Bridge St
Blackfoot, ID 83221-1912
Mailing address
801 S Vista Ave
Boise, ID 83705-2424
Phone (208) 364-7777
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 |
|---|---|---|---|
| P6289 | ID | MD | Pharmacist |
| 17664 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iwl LLC | Current | Accepting new patients |
Organizations & group practices 1
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": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1750665238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S VISTA AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837052424",
"telephone_number": "208-364-7777",
"fax_number": "208-364-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W BRIDGE ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211912",
"telephone_number": "208-412-4017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHRKE",
"first_name": "JOSHUA",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17664",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
- Margaret Frei, COTA/L
- Gables Holdings LLC (Gables of Pocatello Assisted Living, Gables of Blackfoot Assisted Livi)
- Darin Gambles, DPM
- Liliana Garcia, BSN, RN
- Carisa A Gearhart, MS CCC-SLP
- Thomas J Gelwix, MD
- Brett Montana Gessell
- Bryan J. Gibby, MSPT, CWS
- Douglas Gilbert, NP
- Suzanne Godfrey, LCPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.