Jeff Jausoro

Primary specialty

PharmacistTaxonomy code 183500000X

License

P5113 Issued in ID

Practice address

528 N Main St
Mountain Home, ID 83647-2117

Phone

(208) 587-3365

Fax

(208) 587-1545

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alexander Drug Incorporated

  dba Sav-Mor Drug

  • Durable Medical Equipment & Medical Supplies
  • Mountain Home, ID
  • NPI 1245327402
  NPD Authorized official
• Alexander Drug Incorporated

  dba Sav-Mor Drug

  • Community/Retail Pharmacy
  • Mountain Home, ID
  • NPI 1962578526
  NPD Authorized official

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1891081790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 N MAIN ST",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472117",
            "telephone_number": "208-587-3365",
            "fax_number": "208-587-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N MAIN ST",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472117",
            "telephone_number": "208-587-3365",
            "fax_number": "208-587-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUSORO",
        "first_name": "JEFF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Behavioral Health, Inc.
• Idaho Dept of Health & Welfare Amh Clinic MH
• Idaho Dept of Health & Welfare Amh PSR Mt Home
• Inspiring Change, Inc
• Deborah Jackson
• Barry Edward Jenks, LPC, NCC
• John E. Goodrich, D.D.S.
• Lita Elaine Johnson, CSFA
• Stephen C Johnson, DO
• Teresa Michelle Johnson, MS CF-SLP

• Pharmacist in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.