P Praxis·MD
● Active Type 1 · Individual

Jean Anne Vandenberg

Pharmacist·Hailey, ID· NPI 1912190422 · Enumerated 2007 · 18 years on NPI
Vandenberg is 1 of 14 pharmacist providers in Hailey and 1 of 1739 in Idaho.
NPI age
18 years
Enumerated 2007-08-20
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-05
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
18 years
↑ 8 yr above median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
91 E Croy St
Hailey, ID 833338877
📞 2087889714
Mailing address
Po Box 2468
Hailey, ID 833332468
📞 2087881167

Additional practice locations

1 secondary location on file with NPPES.

Location 2
306 Blue Lakes Blvd N
Twin Falls, ID 833014827
📞 2087344053

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 #P5008 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new pharmacist provider has been added in Hailey in the last 180 days. See all →
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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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