JESSIE MODLIN PHARMD
NPI 1386282788
Pharmacist - Oncology in Boise, ID

Active since December 16, 2019
100 E IDAHO ST, BOISE, ID 83712(208) 381-4586 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessie Modlin Pharmd NPPES

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

JESSIE MODLIN PHARMD (NPI 1386282788) is an individual oncology provider in Boise, Idaho, licensed in Idaho (P5933) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1386282788
Entity TypeIndividualFemale
Primary Taxonomy1835X0200X
Provider Legal NameJESSIE MODLINCredential: PHARMD
Location Address100 E IDAHO STBoise, ID 83712-6267
Mailing Address2906 S Garden StBoise, ID 83705-3801
Sole ProprietorNo
Enumeration DateDecember 16, 2019
NPI 1386282788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · OncologyPharmacy Service Providers
Taxonomy Code1835X0200X
License Licensed in ID · P5933
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.

100 E IDAHO ST, Boise, ID 83712

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.

Obstetrics & Gynecology
100 E IDAHO ST, SUITE 302
BOISE, ID 83712
Plastic Surgery
100 E IDAHO ST, SUITE 301
BOISE, ID 83712
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Neurological Surgery
100 E IDAHO ST
BOISE, ID 83712
Neurological Surgery
100 E IDAHO ST, SUITE 202
BOISE, ID 83712
Pediatrics (Developmental - Behavioral Pediatrics)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Surgery (Plastic and Reconstructive Surgery)
100 E IDAHO ST, SUITE 303
BOISE, ID 83712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386282788, enumerated as an "individual" on December 16, 2019.

The provider is located at 100 E IDAHO ST BOISE, ID 83712 and the phone number is (208) 381-4586.

Pharmacist with taxonomy code 1835X0200X and a focus in Oncology.