1912903360 NPI number — DR. ANGELA D. CASPERSON PHARM.D.

Table of content: DR. ANGELA D. CASPERSON PHARM.D. (NPI 1912903360)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912903360 NPI number — DR. ANGELA D. CASPERSON PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CASPERSON
Provider First Name:
ANGELA
Provider Middle Name:
D.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912903360
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1854 N HONEYSUCKLE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INKOM
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83245-1612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-775-3540
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
444 HOSPITAL WAY
Provider Second Line Business Practice Location Address:
STE 801
Provider Business Practice Location Address City Name:
POCATELLO
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83201-2792
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-232-6214
Provider Business Practice Location Address Fax Number:
208-233-3416
Provider Enumeration Date:
06/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  P5017 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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