Rae Hodge, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

P5082 Issued in ID

Practice address

2102 Nez Perce Dr
Lewiston, ID 83501-4116

Phone

(208) 743-4434

Fax

(208) 743-9422

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1780960682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 VISTA AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014626",
            "telephone_number": "208-305-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 NEZ PERCE DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014116",
            "telephone_number": "208-743-4434",
            "fax_number": "208-743-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "RAE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5082",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0008715",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00019210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Hill, PH.D.
• Lee J Hixson, M.D.
• Hni Hospitalists of Idaho, LLC
• Hni Medical Services of Idaho, LLC
• John W. Ho, MD
• Brian Arthur Hoffmann, M.D.
• Stephen W Holm, DMD
• Tayler Lyndsey Holman, NP
• Thomas Stephenson Holmes, M.D.
• Mandy Lea Hopkins, RN

• Pharmacist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.