Active NPI
Nicole Briana Dooda
- Ambulatory Care Pharmacist
- Coeur d'Alene, ID
National Provider Identifier
1770951865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- P8189
- Practice address
- 700 W Ironwood Dr Ste 158
Coeur D Alene, ID 83814-4404 - Phone
- (208) 625-5100
- Fax
- (208) 625-5101
- NPI assigned
- Sep 8, 2015
- Last updated
- Apr 5, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | P8189 | ID | Primary |
Addresses
Primary practice location
700 W Ironwood Dr Ste 158
Coeur D Alene, ID 83814-4404
Mailing address
24317 E Pinehurst LN
Liberty Lake, WA 99019-9677
Phone (928) 713-4933
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 |
|---|---|---|---|
| P8189 | ID | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Past | Accepting new patients | |
| German Dobson CVS LLC | 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": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1770951865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24317 E PINEHURST LN",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990199677",
"telephone_number": "928-713-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR STE 158",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144404",
"telephone_number": "208-625-5100",
"fax_number": "208-625-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOODA",
"first_name": "NICOLE",
"middle_name": "BRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "ID",
"license": "P8189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.