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DR. SUPRIYA PONNAPULA PHARM.D.
NPI 1053710558
Pharmacist - Ambulatory Care in Boise, ID

Active since August 20, 2014
500 W FORT ST, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Supriya Ponnapula Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUPRIYA PONNAPULA PHARM.D. (NPI 1053710558) is an individual ambulatory care provider in Boise, Idaho, licensed in Tennessee (38214) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1053710558
Entity TypeIndividualFemale
Primary Taxonomy1835P2201X
Provider Legal NameDR. SUPRIYA PONNAPULACredential: PHARM.D.
Location Address500 W FORT STBoise, ID 83702-4599
Mailing Address500 W Fort StBoise, ID 83702-4599 · (208) 422-1000
Phone(208) 422-1000
Sole ProprietorNo
Enumeration DateAugust 20, 2014
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1053710558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in TN · 38214
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
500 W FORT ST, Boise, ID 83702
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supriya Ponnapula's NPI number?

The NPI number for Supriya Ponnapula is 1053710558. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Where is Supriya Ponnapula located?

Supriya Ponnapula practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Supriya Ponnapula's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Supriya Ponnapula was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.