Active NPI
Heather R Wolcott, PHARMD
- Pharmacist
- Nampa, ID
National Provider Identifier
1871884908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5784
- Practice address
- 16700 N Marketplace Blvd
Nampa, ID 83687-7909 - Phone
- (208) 465-3809
- NPI assigned
- Apr 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R2557 | NH | |
| Pharmacist | 183500000X | PH00052420 | WA | |
| Pharmacist | 183500000X | 051295549 | IL | |
| Pharmacist | 183500000X | RPH0017329 | OR | |
| Pharmacist | 183500000X | P5784 | ID | Primary |
Addresses
Primary practice location
16700 N Marketplace Blvd
Nampa, ID 83687-7909
Mailing address
16700 N Marketplace Blvd
Nampa, ID 83687-7909
Phone (208) 465-3809
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 |
|---|---|---|---|
| P5784 | ID | MD | Pharmacist |
| 051295549 | IL | MD | Pharmacist |
| R2557 | NH | MD | Pharmacist |
| RPH0017329 | OR | MD | Pharmacist |
| PH00052420 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1871884908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16700 N MARKETPLACE BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877909",
"telephone_number": "208-465-3809",
"fax_number": "208-465-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16700 N MARKETPLACE BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877909",
"telephone_number": "208-465-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "HEATHER",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-23",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R2557",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00052420",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295549",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0017329",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.