Active NPI
Terri Pham
- Pharmacist
- Meridian, ID
National Provider Identifier
1942982954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10829
- Practice address
- 520 S Eagle Rd
Meridian, ID 83642-6351 - Phone
- (208) 706-5000
- NPI assigned
- Aug 1, 2023
- Last updated
- Aug 1, 2023
- 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 | P10829 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Mailing address
11792 W King St Apt 208
Boise, ID 83713-5418
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 |
|---|---|---|---|
| P10829 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1942982954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11792 W KING ST APT 208",
"city": "BOISE",
"state": "ID",
"postal_code": "837135418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426351",
"telephone_number": "208-706-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- Sienna Peterson
- Taylor Nicole Peterson, OTD, OTR/L
- Wesley Peterson, LPC
- Carly Petrie, PA
- Ella Pfeiler
- Pharmacy Medical Solutions LLC
- Pharmerica Mountain LLC (PharMerica)
- Kristin M Phillips, M.S. CCC-SLP
- Phoenix Counseling Services LLC
- Phoenix Health LLC (PIBCOA-The Pain, Injury and Brain Centers of America)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.