Shane Stuermer, PHARM.D., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

6655 Issued in ID

Practice address

6452 Main St
Bonners Ferry, ID 83805-8520

Phone

(208) 267-4021

Fax

(208) 267-4024

NPI assigned

May 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medicine Man Bonners Ferry Pharmacy LLC

  • Community/Retail Pharmacy
  • Bonners Ferry, ID
  • NPI 1578826178
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1780095778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 MAIN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058520",
            "telephone_number": "208-267-4021",
            "fax_number": "208-267-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 MAIN ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058520",
            "telephone_number": "208-267-4021",
            "fax_number": "208-267-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUERMER",
        "first_name": "SHANE",
        "credential": "PHARM.D., RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendell Ann Simm, PA-C
• Ledeen Snyder, RN
• Van Martin Stonehocker, PA-C
• Marilyn Strand, M.D.
• Aimee Stuermer, PHARM.D., RPH
• Sunset Home Assisted Living, Inc.
• Susan F. Falck, MSW, LCSW, PC
• Sweetwater Counseling
• Dan Tadlock, LCSW
• Denys Taipale-Knight, M.ED

• Pharmacist in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.