Monica Terry, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P6299 Issued in ID

Practice address

335 W Appleway Ave
Coeur D Alene, ID 83814-9306

Phone

(208) 765-1254

Fax

(208) 765-1303

NPI assigned

Feb 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Coeur D Alene, ID
  • NPI 1962417089
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1811355654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S CONKLIN RD APT E28",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990370017",
            "telephone_number": "406-370-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W APPLEWAY AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838149306",
            "telephone_number": "208-765-1254",
            "fax_number": "208-765-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60259442",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Liliana Tenney
• Jill Danielle Terracciano, R.D.
• Terrace Home Health Boise LLC
• Terrace Home Health Boise, LLC
• Terrace Home Health Boise, LLC
• Tesh, Inc.
• Tesh, Inc.
• Tesh, Inc.
• Tesh, Inc.
• Tesh, Inc.

• Pharmacist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.