P Praxis·MD
● Active Type 2 · Organization

Aviva Northwest, Pllc

Pharmacist·Coeur D Alene, ID· NPI 1225847643 · Enumerated 2024 · 1 years on NPI
Aviva Northwest, Pllc is 1 of 80 pharmacist organizations in Idaho.
NPI age
1 years
Enumerated 2024-12-31
Primary specialty
Pharmacist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Owner
Last NPPES update
2025-04-19
Source: monthly bulk 2026-05

How this organization compares

Across 80 active pharmacist providers in Idaho.

NPI age
1 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2024 → 2026

2024-12Enumerated in NPPES
2024 2026

Where they practice

Primary practice location
301 N 1st St Apt 416
Coeur D Alene, ID 838142845
📞 5096886023fax 5092317045
Mailing address
301 N 1st St Apt 416
Coeur D Alene, ID 838142845
📞 5098686023fax 5092317045

Authorized official

Jennifer Taylor, DPH
Owner
📞 5093851290

Specialties

  • Pharmacist Primary
    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.
    taxonomy 1835P0018X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Aviva Northwest
    Type code 3 recorded 2025-03-26
  • Aviva Northwest
    Type code 3 recorded 2024-12-31

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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