Audra Sandoval, PHARMD, BCPS, MSCP
NPI 1104322460ActiveIndividual· Pharmacist, Pharmacotherapy· Boise, ID
Pharmacist, Pharmacotherapy (PHARMD, BCPS, MSCP) in Boise, Idaho, licensed in ID and CO, with an NPI issued in April 2018.
Overview
| NPI | 1104322460 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD, BCPS, MSCP |
| Sole proprietor | Yes |
| NPI issued | Apr 4, 2018 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Pharmacotherapy Primary | 1835P1200X | P10560 | ID |
| Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P10560 | ID |
| Pharmacist | 183500000X | 0021851 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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