Individual provider Active NPI

Nathan Spann, PHARMD - PHARMACIST

  • Pharmacist
  • Boise, ID
National Provider Identifier
1982123758
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P7827 Issued in ID
Practice address
1650 W State St
Boise, ID 83702-4040
Phone
(208) 344-8660
NPI assigned
Sep 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P7827 ID Primary

Addresses

Primary practice location

1650 W State St
Boise, ID 83702-4040

Mailing address

5301 W Waterwheel Dr
Boise, ID 83703-3131
Phone (208) 890-8432

Other practice location 1

207 1st St S
Nampa, ID 83651-3703
Phone (208) 466-7869

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

LicenseStateTypeSpecialty
P7827IDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982123758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 W WATERWHEEL DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837033131",
            "telephone_number": "208-890-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024040",
            "telephone_number": "208-344-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 1st St S",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836513703",
            "country_code": "US",
            "telephone_number": "208-466-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPANN",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD - PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 17, 2018; 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.