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AUDRA SANDOVAL PHARMD, BCPS, MSCP
NPI 1104322460
Pharmacist - Pharmacotherapy in Boise, ID

Active since April 04, 2018
500 W FORT ST, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Audra Sandoval Pharmd, Bcps, Mscp NPPES

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

AUDRA SANDOVAL PHARMD, BCPS, MSCP (NPI 1104322460) is an individual pharmacotherapy provider in Boise, Idaho, licensed in Idaho (P10560) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1104322460
Entity TypeIndividualFemale
Primary Taxonomy1835P1200X
Provider Legal NameAUDRA SANDOVALCredential: PHARMD, BCPS, MSCP
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address500 W Fort StBoise, ID 83702-4501
Phone(208) 422-1000
Sole ProprietorYes
Enumeration DateApril 4, 2018
Last NPPES UpdateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1104322460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in ID · P10560
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

Also ListedPharmacistTaxonomy 183500000X · License 0021851 (CO)
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License P10560 (ID)
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 Audra Sandoval's NPI number?

The NPI number for Audra Sandoval is 1104322460. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Audra Sandoval located?

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

What is Audra Sandoval's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Audra Sandoval was last updated on March 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.