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MARY THIBODEAU PHARMD
NPI 1821474818
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Coeur D Alene, ID

Active since August 03, 2015
700 W IRONWOOD DR STE 228, COEUR D ALENE, ID 83814(208) 625-5672(208) 625-6488 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Thibodeau Pharmd NPPES

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

MARY THIBODEAU PHARMD (NPI 1821474818) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Coeur D Alene, Idaho, licensed in Idaho (P8107) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1821474818
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMARY THIBODEAUCredential: PHARMD
Location Address700 W IRONWOOD DR STE 228Coeur D Alene, ID 83814-4473
Mailing Address700 W Ironwood Dr Ste 228Coeur D Alene, ID 83814-4473 · (208) 625-5672 · Fax (208) 625-6488
Phone(208) 625-5672
Fax(208) 625-6488
Sole ProprietorNo
Enumeration DateAugust 3, 2015
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1821474818 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
Licenses✔ Licensed in ID · P8107✔ Licensed in WA · PH60020486
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.
700 W IRONWOOD DR STE 228, Coeur D Alene, ID 83814
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Other Providers at the Same Location NPPES 6

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

DR. JAMES GREGORY BERAIN PHARMD
Pharmacist
700 W IRONWOOD DR STE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5672
LAUREN FLETCHER PHARMD
Pharmacist
700 W IRONWOOD DR STE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5672
HANNAH MARIE VONWAHLDE PHARMD
Pharmacist
700 W IRONWOOD DR STE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5672
BEVERLY A WARD
Pharmacist
700 W IRONWOOD DR STE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
CINDY JOHNSON PHARMD
Pharmacist
700 W IRONWOOD DR STE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
LINDSEY ANDERSON PHARM D
Pharmacist
700 W IRONWOOD DR STE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670

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 Mary Thibodeau's NPI number?

The NPI number for Mary Thibodeau is 1821474818. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Mary Thibodeau located?

Mary Thibodeau practices at 700 W Ironwood Dr Ste 228, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5672.

What is Mary Thibodeau'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 Mary Thibodeau was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.