Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295101400 Individual Practitioner Male Practitioner

Alex Wald

Pharmacist • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Alex Wald is a registered healthcare professional specializing in Pharmacist in Eagle, ID. Practice services are available at 149 W STATE ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

149 W State St Ste 101

Eagle, ID 836164911

Telephone 2089398008
Associated Practice Facility / Clinic
🏢 Customedica Pharmacy Inc Facility NPI 1780729988

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Eagle, ID

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

Practicing in Eagle, 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: 2023-07-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID CS39582

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

3 Associated Practitioners
NPI 1447710728

Doctor of Pharmacy (Pharm.D.)

NPI 1902277536

Registered Pharmacist

NPI 1942624515

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 July 19, 2023

Registered at 149 W STATE ST STE 101, EAGLE, ID 836164911 (Tel: 2089398008)

📍
Updated Business Mailing Address July 19, 2023

Registered at 149 W STATE ST STE 101, EAGLE, ID 836164911 (Tel: 2089398008)

NPI Profile Active August 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2015

Registered at 455 SOUTH BROADWAY, BOISE, ID 837027643 (Tel: 2083314187)

📍
Updated Business Mailing Address August 12, 2015

Registered at 455 SOUTH BROADWAY, BOISE, ID 837027643 (Tel: 2083314187)

👤
Provider Name / Credentials Updated August 12, 2015

Recorded as ALEX WALD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2015

Pharmacist (License #CS39582 in ID)

🟢
Initial NPI Registration & Enumeration August 12, 2015

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: 1295101400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2015
Last Update: July 19, 2023
Sole Proprietor: No

Mailing Address

149 W State St Ste 101

Eagle, ID 836164911

Phone: 2089398008

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.