P Praxis·MD
● Active Type 1 · Individual

Jacob Andrew Stutzer, PHARMACIST

Pharmacist·Mountain Home Afb, ID· NPI 1326655028 · Enumerated 2020 · 5 years on NPI
Stutzer is 1 of 8 pharmacist providers in Mountain Home Afb and 1 of 1739 in Idaho.
NPI age
5 years
Enumerated 2020-09-26
Primary specialty
Pharmacist
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-04-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1739 active pharmacist providers in Idaho.

NPI age
5 years
↓ 5 yr below median (10 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
90 Hope Dr
Mountain Home Afb, ID 836481057
📞 2088287521
Mailing address
90 Hope Dr
Mountain Home Afb, ID 836481057
📞 2088287521

Specialties

  • Pharmacist Primary
    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,...
    ID license #P10003WA license #61056660 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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