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Jean Anne Vandenberg

Pharmacist β€’ Hailey, ID

Active NPI 1912190422 Individual Practitioner Female Practitioner
Practice location in NPPES

91 E Croy St
Hailey, ID 833338877

Call 2087889714 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

91 E Croy St

Hailey, ID 833338877

Telephone 2087889714
Organization at the Same NPPES Address or Phone
Atkinsons Market, Inc Facility NPI 1285643353

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Twin Falls, ID. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hailey and Idaho

14 active clinicians are listed under Pharmacist with a practice address in Hailey, ID (1,764 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hailey

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES ID P5008

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

306 Blue Lakes Blvd N

Twin Falls, ID 833014827

Phone: 2087344053

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1013283274

Registered Pharmacist

NPI 1093066433

Registered Pharmacist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location July 05, 2025

Registered at 91 E CROY ST, HAILEY, ID 833338877 (Tel: 2087889714)

βœ…
NPI Profile Active August 25, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 25, 2007

Registered at 306 BLUE LAKES BLVD N, TWIN FALLS, ID 833014827 (Tel: 2087344053)

πŸ“
Business Mailing Address (Initial Record) August 25, 2007

Registered at PO BOX 2468, HAILEY, ID 833332468 (Tel: 2087881167)

πŸ‘€
Provider Name / Credentials (Initial Record) August 25, 2007

Recorded as JEAN VANDENBERG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2007

Pharmacist (license number reported to NPPES: ID P5008)

🟒
Initial NPI Registration & Enumeration August 20, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912190422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2007
Last Update: July 05, 2025
Sole Proprietor: No

Other Pharmacists in Hailey

Mailing Address

Po Box 2468

Hailey, ID 833332468

Phone: 2087881167

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.