Active NPI
Carissa Hober, PHARMD
- Ambulatory Care Pharmacist
- Coeur D Alene, ID
National Provider Identifier
1982144424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- P6743
- Practice address
- 700 W Ironwood Dr
Suite 246
Coeur D Alene, ID 83814-2656 - Phone
- (208) 625-5688
- Fax
- (208) 625-5687
- NPI assigned
- Mar 2, 2017
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | P6743 | ID | Primary |
Addresses
Primary practice location
700 W Ironwood Dr
Suite 246
Coeur D Alene, ID 83814-2656
Mailing address
700 W Ironwood Dr
Suite 246
Coeur D Alene, ID 83814-2656
Phone (208) 625-5688
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 |
|---|---|---|---|
| P6743 | ID | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Coeur D Alene, ID
- NPI 1235288655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1982144424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR",
"address_2": "SUITE 246",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142656",
"telephone_number": "208-625-5688",
"fax_number": "208-625-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR",
"address_2": "SUITE 246",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142656",
"telephone_number": "208-625-5688",
"fax_number": "208-625-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBER",
"first_name": "CARISSA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "ID",
"license": "P6743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.