Active NPI
Dylan Jacob Joseph Hammer, PHARMD
- Pharmacist
- Caldwell, ID
National Provider Identifier
1811607237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10448
- Practice address
- 4110 S 10TH Ave
Caldwell, ID 83605-5706 - Phone
- (208) 402-0154
- Fax
- (208) 402-0160
- NPI assigned
- Nov 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10448 | ID | Primary |
Addresses
Primary practice location
4110 S 10TH Ave
Caldwell, ID 83605-5706
Mailing address
4110 S 10TH Ave
Caldwell, ID 83605-5706
Phone (208) 402-0154
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10448 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4110 S 10th Ave
Caldwell, ID 83605
Phone (208) 402-0154
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1811607237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 S 10TH AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836055706",
"telephone_number": "208-402-0154",
"fax_number": "208-402-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 S 10TH AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836055706",
"telephone_number": "208-402-0154",
"fax_number": "208-402-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMER",
"first_name": "DYLAN",
"middle_name": "JACOB JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.