Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326706854 Individual Practitioner Male Practitioner

Caleb Jackson

Pharmacist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Caleb Jackson is a registered healthcare professional specializing in Pharmacist in Boise, ID. Practice services are available at 500 W FORT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 W Fort St

Boise, ID 837024501

Telephone 2084221000
Associated Practice Facility / Clinic
🏢 Boise Vamc Facility NPI 1841258985

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
496 Specialists

Practicing in Boise, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P9422

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Bernotski , RDH

Dental Hygienist

NPI 1003295999

Registered Dental Hygienist

Dr. Luke Hansen , MD

Psychiatry & Neurology - Psychiatry

NPI 1003521253

Doctor of Medicine (M.D.)

Christopher Gutierrez

Registered Nurse - Gastroenterology

NPI 1003559683
Dr. Michael Glover , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1013235423

Doctor of Medicine (M.D.)

Dr. Ann Trotter , PhD

Psychologist - Clinical

NPI 1013494442

Doctor of Philosophy (Ph.D.)

NPI 1013516293

RNBC, Bachelor of Science in Nursing

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2021

Registered at 500 W FORT ST, BOISE, ID 837024501 (Tel: 2084221000)

📍
Updated Business Mailing Address December 01, 2021

Registered at 2108 N 20TH ST, BOISE, ID 837020831 (Tel: 9859911266)

👤
Provider Name / Credentials Updated December 01, 2021

Recorded as CALEB JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2021

Pharmacist (License #P9422 in ID)

🟢
Initial NPI Registration & Enumeration December 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326706854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2021
Last Update: December 01, 2021
Sole Proprietor: No

Mailing Address

2108 N 20th St

Boise, ID 837020831

Phone: 9859911266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.