Active NPI
Jacob Lynn Nestler
- Pharmacist
- Idaho Falls, ID
National Provider Identifier
1750733184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P7551
- Practice address
- 2100 Alan St
Idaho Falls, ID 83404-5801 - Phone
- (208) 470-7979
- Fax
- (833) 726-1877
- NPI assigned
- Jul 11, 2016
- Last updated
- Jun 4, 2026
- 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 | P7551 | ID | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P7551 | ID |
Addresses
Primary practice location
2100 Alan St
Idaho Falls, ID 83404-5801
Mailing address
2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 470-7979
Other names 1
- Jake Lynn Nestler
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 |
|---|---|---|---|
| P7551 | ID | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1750733184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 ALAN ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045801",
"telephone_number": "208-470-7979",
"fax_number": "833-726-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ALAN ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045801",
"telephone_number": "208-470-7979",
"fax_number": "833-726-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTLER",
"first_name": "JACOB",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P7551",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "ID",
"license": "P7551",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAKE",
"last_name": "NESTLER",
"middle_name": "LYNN",
"code": "5",
"type": "Other Name"
}
]
}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 Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.