Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912190422 Individual Practitioner Female Practitioner

Jean Anne Vandenberg

Pharmacist • Hailey, ID

Professional Overview & Biography Verified Profile Summary

Jean Vandenberg is a registered healthcare professional specializing in Pharmacist in Hailey, ID. Practice services are available at 91 E CROY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

91 E Croy St

Hailey, ID 833338877

Telephone 2087889714
Associated Practice Facility / Clinic
🏢 Atkinsons Market, Inc Facility NPI 1285643353

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Hailey, ID

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

Practicing in Hailey, 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: 2025-07-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P5008

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.

Secondary Practice Locations

306 Blue Lakes Blvd N

Twin Falls, ID 833014827

Phone: 2087344053

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1013283274

Registered Pharmacist

NPI 1093066433

Registered Pharmacist

Dr. Katelyn Smith , PharmD

Pharmacy - Community/Retail Pharmacy

NPI 1902720675

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 05, 2025

Registered at 91 E CROY ST, HAILEY, ID 833338877 (Tel: 2087889714)

NPI Profile Active August 25, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2007

Registered at 306 BLUE LAKES BLVD N, TWIN FALLS, ID 833014827 (Tel: 2087344053)

📍
Updated Business Mailing Address August 25, 2007

Registered at PO BOX 2468, HAILEY, ID 833332468 (Tel: 2087881167)

👤
Provider Name / Credentials Updated August 25, 2007

Recorded as JEAN VANDENBERG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2007

Pharmacist (License #P5008 in ID)

🟢
Initial NPI Registration & Enumeration August 20, 2007

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: 1912190422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2007
Last Update: July 05, 2025
Sole Proprietor: No

Mailing Address

Po Box 2468

Hailey, ID 833332468

Phone: 2087881167

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.