Active NPI
Lauren Devine
- Pharmacist
- Boise, ID
National Provider Identifier
1861044810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- I45408
- Practice address
- 2887 S Abbs LN
Boise, ID 83705-4197 - Phone
- (509) 432-3085
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- 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 | I45408 | ID | Primary |
Addresses
Primary practice location
2887 S Abbs LN
Boise, ID 83705-4197
Mailing address
2887 S Abbs LN
Boise, ID 83705-4197
Phone (509) 432-3085
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldevine@wsu.edu |
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
| License | State | Type | Specialty |
|---|---|---|---|
| I45408 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1861044810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2887 S ABBS LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837054197",
"telephone_number": "509-432-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2887 S ABBS LN",
"city": "BOISE",
"state": "ID",
"postal_code": "837054197",
"telephone_number": "509-432-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "I45408",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldevine@wsu.edu",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "2887 S Abbs Ln",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837054197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.