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JEAN ANNE VANDENBERG
NPI 1912190422
Pharmacist in Hailey, ID

Active since August 20, 2007
91 E CROY ST, HAILEY, ID 83333(208) 788-9714 Get Directions Write a Review

NPPES record last updated: July 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean Anne Vandenberg NPPES

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

JEAN ANNE VANDENBERG (NPI 1912190422) is an individual pharmacist in Hailey, Idaho, licensed in Idaho (P5008) and active in the NPI registry since August 2007. She maintains a secondary practice location in Twin Falls.

NPPES Registry Identity

NPI1912190422
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJEAN ANNE VANDENBERG
Location Address91 E CROY STHailey, ID 83333-8877
Mailing AddressPo Box 2468Hailey, ID 83333-2468 · (208) 788-1167
Phone(208) 788-9714
Sole ProprietorNo
Enumeration DateAugust 20, 2007
Last NPPES UpdateJuly 5, 2025
NPPES CertifiedJuly 5, 2025
✔ NPI 1912190422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P5008
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.
91 E CROY ST, Hailey, ID 83333
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Secondary Practice Location 1

Location 1306 Blue Lakes Blvd NTwin Falls, ID 83301-4827 · Phone (208) 734-4053

Other Providers at the Same Location NPPES 3

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

HEIDI DOREEN ELIASON RPH
Pharmacist
91 E CROY ST
HAILEY, ID 83333
Blaine County (208) 788-9714
RANDYE SUE SIMCOE RPH
Pharmacist
91 E CROY ST
HAILEY, ID 83333
Blaine County (208) 788-9714
ATKINSONS MARKET, INC
Pharmacy (Community/Retail Pharmacy)
91 E CROY ST
HAILEY, ID 83333
Blaine County (208) 788-9714

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 Jean Vandenberg's NPI number?

The NPI number for Jean Vandenberg is 1912190422. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Jean Vandenberg located?

Jean Vandenberg practices at 91 E Croy St, Hailey, ID 83333. The listed phone number is (208) 788-9714.

What is Jean Vandenberg'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 Jean Vandenberg was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.