Individual provider Active NPI

Rebekah Grigg, PHARMD

  • Pharmacist
  • Boise, ID
National Provider Identifier
1851607725
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P6184 Issued in ID
Practice address
1520 N Cole Rd
Boise, ID 83704-8563
Phone
(208) 375-8278
NPI assigned
Aug 29, 2010
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P6184 ID Primary

Addresses

Primary practice location

1520 N Cole Rd
Boise, ID 83704-8563

Mailing address

5148 W Bainbridge Dr
Boise, ID 83703-3418
Phone (208) 369-0260

Other names 1

  • Rebekah Bjorkman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL s0154c01@safeway.com Direct

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

LicenseStateTypeSpecialty
P6184IDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1851607725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 W BAINBRIDGE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837033418",
            "telephone_number": "208-369-0260",
            "fax_number": "208-321-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048563",
            "telephone_number": "208-375-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "REBEKAH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-29",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "s0154c01@safeway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "s0154c01@safeway.com",
            "address_1": "1520 N Cole Rd",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837048563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "BJORKMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.