Active NPI
Stephanie D Geddes, PHARMD
- Pharmacist
- Nampa, ID
National Provider Identifier
1871896241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5970
- Practice address
- 715 12TH Ave S
Nampa, ID 83651-4254 - Phone
- (208) 466-3592
- NPI assigned
- Dec 7, 2010
- Last updated
- Dec 7, 2010
- 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 | P5970 | ID | Primary |
Addresses
Primary practice location
715 12TH Ave S
Nampa, ID 83651-4254
Mailing address
715 12TH Ave S
Nampa, ID 83651-4254
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 |
|---|---|---|---|
| P5970 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1871896241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 12TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 12TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514254",
"telephone_number": "208-466-3592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDDES",
"first_name": "STEPHANIE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
- Curtis Mahan Garner, EDD
- Michelle Marie Garrett, BS
- Jami Sue Garver, DPT,ATC,CSCS
- Gary Gregerson MD PA (Advanced Specialty Care for Women)
- Gary Gregerson, M.D., P.a. (Advanced Specialty Care For Women)
- Blaine Joseph Geiger, LMSW
- Janece Geisel, LCPC
- Geiss Med Hospice Id LLC
- Ashley Geist, OTR/L
- Gem Prep: Nampa, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.