Individual provider Active NPI

Ann Oehlert

  • Pharmacist
  • Spirit Lake, ID
National Provider Identifier
1831467414
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P6360 Issued in ID
Practice address
31964 N. Fifth Ave
Spirit Lake, ID 83869
Phone
(208) 623-8485
Fax
(208) 623-3400
NPI assigned
Dec 9, 2011
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X CS15411 ID
Pharmacist 183500000X P6360 ID Primary

Addresses

Primary practice location

31964 N. Fifth Ave
Spirit Lake, ID 83869

Mailing address

PO Box 510
Spirit Lake, ID 83869-0510
Phone (208) 623-8485

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

LicenseStateTypeSpecialty
CS15411IDMDPharmacist
P6360IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Deblaquiere Enterprises Inc PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 1

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": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1831467414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "SPIRIT LAKE",
            "state": "ID",
            "postal_code": "838690510",
            "telephone_number": "208-623-8485",
            "fax_number": "208-623-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31964 N. FIFTH AVE",
            "city": "SPIRIT LAKE",
            "state": "ID",
            "postal_code": "83869",
            "telephone_number": "208-623-8485",
            "fax_number": "208-623-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEHLERT",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "CS15411",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.