Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619393493 Individual Practitioner Male Practitioner

John Willis

Pharmacist • Bonners Ferry, ID

Professional Overview & Biography Verified Profile Summary

John Willis is a registered healthcare professional specializing in Pharmacist in Bonners Ferry, ID. Practice services are available at 6452 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6452 Main St

Bonners Ferry, ID 838058520

Telephone 2082674021
Fax 2082674024
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bonners Ferry, ID

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

Practicing in Bonners Ferry, 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: 2022-05-25
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MT 12477

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

4 Associated Practitioners
NPI 1023628740

Doctor of Pharmacy (Pharm.D.)

NPI 1063823052

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1780095778

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1801437934

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 25, 2022

Registered at 6452 MAIN ST, BONNERS FERRY, ID 838058520 (Tel: 2082674021)

📍
Updated Business Mailing Address May 25, 2022

Registered at 6452 MAIN ST, BONNERS FERRY, ID 838058520 (Tel: 2082674021)

NPI Profile Active March 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2014

Registered at 1401 MINNESOTA AVE, LIBBY, MT 599232309 (Tel: 4062933784)

📍
Updated Business Mailing Address March 17, 2014

Registered at 1401 MINNESOTA AVE, LIBBY, MT 599232309 (Tel: 4062933784)

👤
Provider Name / Credentials Updated March 17, 2014

Recorded as JOHN WILLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2014

Pharmacist (License #12477 in MT)

🟢
Initial NPI Registration & Enumeration March 17, 2014

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: 1619393493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2014
Last Update: May 25, 2022
Sole Proprietor: No

Mailing Address

6452 Main St

Bonners Ferry, ID 838058520

Phone: 2082674021

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.