Active NPI
Robert Eckhart, PHARM D
- Pharmacist
- Pinehurst, ID
National Provider Identifier
1750724597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5801
- Practice address
- 504 N. Division St
Pinehurst, ID 83850 - Phone
- (208) 682-3920
- Fax
- (208) 682-3939
- NPI assigned
- Apr 11, 2013
- Last updated
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P5801 | ID | Primary |
| Pharmacist | 183500000X | CS10374 | ID | |
| Pharmacist | 183500000X | PH 00055425 | WA |
Addresses
Primary practice location
504 N. Division St
Pinehurst, ID 83850
Mailing address
PO Box 400
Pinehurst, ID 83850-0400
Phone (208) 682-3920
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P5801 | Other | ID | IDAHO PHARMACIST LICENSE |
| PH 00055425 | Other | WA | WASHINGTON PHARMACIST LICENSE |
| CS10374 | Other | ID | PHARMACIST CONTROLLED SUBSTANCE LICENSE |
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 |
|---|---|---|---|
| CS10374 | ID | MD | Pharmacist |
| P5801 | ID | MD | Pharmacist |
| PH 00055425 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1750724597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "PINEHURST",
"state": "ID",
"postal_code": "838500400",
"telephone_number": "208-682-3920",
"fax_number": "208-682-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N. DIVISION ST",
"city": "PINEHURST",
"state": "ID",
"postal_code": "83850",
"telephone_number": "208-682-3920",
"fax_number": "208-682-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKHART",
"first_name": "ROBERT",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5801",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "CS10374",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00055425",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO PHARMACIST LICENSE",
"identifier": "P5801",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON PHARMACIST LICENSE",
"identifier": "PH 00055425",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST CONTROLLED SUBSTANCE LICENSE",
"identifier": "CS10374",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.