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JEFFERSON BOHAN PHARM.D.
NPI 1508245937
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Boise, ID

Active since May 19, 2015
500 W FORT ST, BUILDLING T111, BOISE, ID 83702(208) 422-1000(208) 422-1155 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Bohan Pharm.d. NPPES

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

JEFFERSON BOHAN PHARM.D. (NPI 1508245937) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Boise, Idaho, licensed in Maine (PR27887) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1508245937
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJEFFERSON BOHANCredential: PHARM.D.
Location Address500 W FORT ST, BUILDLING T111Boise, ID 83702-4501
Mailing Address500 W Fort St, Buildling T111Boise, ID 83702-4501 · (208) 422-1000 · Fax (208) 422-1155
Phone(208) 422-1000
Fax(208) 422-1155
Sole ProprietorNo
Enumeration DateMay 19, 2015
Last NPPES UpdateAugust 20, 2015
✔ NPI 1508245937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in ME · PR27887
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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 Jefferson Bohan's NPI number?

The NPI number for Jefferson Bohan is 1508245937. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Where is Jefferson Bohan located?

Jefferson Bohan practices at 500 W Fort St Buildling T111, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Jefferson Bohan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jefferson Bohan was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.