NPI age
10 years
Enumerated 2015-08-06
● Active
Type 1 · Individual
MR. Sebastian Ned Gregorio, RPH
Gregorio is 1 of 469 pharmacist providers in Boise and 1 of 1739 in Idaho.
Primary specialty
Pharmacist
Plus 1 subspecialty
Licensed in
OR, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-08-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1739 active pharmacist providers in Idaho.
NPI age
10 years
≈ at median (10 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-08Enumerated in NPPES
2015
2026
Where they practice
Practice location
2163 S Illinois Ave
Boise, ID 837064218
Mailing address
2163 S Illinois Ave
Boise, ID 837064218
Specialties
-
Pharmacist PrimaryAn 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P4856 | PHARMACIST LICENSE |
| 01 (OR) | 0011562 | PHARMACIST LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new pharmacist provider has been added in Boise in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.