SANDY DERVISEVIC
NPI 1326721606
Pharmacist in Boise, ID

Active since August 11, 2023
8300 W OVERLAND RD, BOISE, ID 83709(208) 321-9080 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandy Dervisevic NPPES

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

SANDY DERVISEVIC (NPI 1326721606) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P10821) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1326721606
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSANDY DERVISEVIC
Location Address8300 W OVERLAND RDBoise, ID 83709-1639
Mailing Address6082 S Tallowtree WayBoise, ID 83716-6966 · (208) 598-2925
Sole ProprietorYes
Enumeration DateAugust 11, 2023
NPPES CertifiedAugust 11, 2023
NPI 1326721606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P10821
Definition

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.

8300 W OVERLAND RD, Boise, ID 83709

Other Providers at the Same Location NPPES 5

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

Optometrist
8300 W OVERLAND RD
BOISE, ID 83709
Pharmacy (Community/Retail Pharmacy)
8300 W OVERLAND RD
BOISE, ID 83709
Eyewear Supplier
8300 W OVERLAND RD
BOISE, ID 83709
Optometrist
8300 W OVERLAND RD
BOISE, ID 83709
Pharmacist
8300 W OVERLAND RD
BOISE, ID 83709

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 Sandy Dervisevic's NPI number?

The NPI number for Sandy Dervisevic is 1326721606. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Sandy Dervisevic located?

Sandy Dervisevic practices at 8300 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 321-9080.

What is Sandy Dervisevic's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Sandy Dervisevic was last updated on August 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.