Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871385682 Individual Practitioner Male Practitioner

Jared Johannessen , RPH

Pharmacist • Sandpoint, ID

Professional Overview & Biography Verified Profile Summary

Jared Johannessen, RPH is a registered healthcare professional specializing in Pharmacist in Sandpoint, ID. Practice services are available at 702 N FIFTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

702 N Fifth Ave

Sandpoint, ID 838641521

Telephone 2082638923
Associated Practice Facility / Clinic
🏢 Safeway Inc Facility NPI 1487683447

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Sandpoint, ID

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

Practicing in Sandpoint, 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: 2025-05-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID 4071460

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

5 Associated Practitioners
NPI 1063961431

Doctor of Pharmacy (Pharm.D.)

NPI 1316284946

Doctor of Pharmacy (Pharm.D.)

Steven Sperry

Pharmacist

NPI 1417207002
NPI 1629378047

Doctor of Pharmacy (Pharm.D.)

NPI 1972013456

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2025

Registered at 702 N FIFTH AVE, SANDPOINT, ID 838641521 (Tel: 2082638923)

📍
Updated Business Mailing Address May 19, 2025

Registered at 702 N FIFTH AVE, SANDPOINT, ID 838641521 (Tel: 2082638923)

👤
Provider Name / Credentials Updated May 19, 2025

Recorded as JARED JOHANNESSEN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2025

Pharmacist (License #4071460 in ID)

🟢
Initial NPI Registration & Enumeration May 19, 2025

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: 1871385682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2025
Last Update: May 19, 2025
Sole Proprietor: No

Mailing Address

702 N Fifth Ave

Sandpoint, ID 838641521

Phone: 2082638923

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.