Jean Anne Vandenberg
NPI 1912190422ActiveIndividual· Pharmacist· Hailey, ID
Pharmacist in Hailey, Idaho, licensed in ID, with an NPI issued in August 2007.
Overview
| NPI | 1912190422 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 20, 2007 |
| Last updated in NPPES | Jul 5, 2025 |
| Certified by provider | Jul 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | P5008 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Pharmacist providers in Hailey
- 1841538345
- 1306126909
- 1154098531
- 1013283274
- 1245478684
- 1740131531
- 1437636685
- 1215484043
- 1053928309
- 1851871271
- 1093066433
- 1073047445