Provider Demographics
NPI:1184438988
Name:JEPPE, REED AUSTIN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:REED
Middle Name:AUSTIN
Last Name:JEPPE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11986 BONNIE LN
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-8003
Mailing Address - Country:US
Mailing Address - Phone:208-697-4129
Mailing Address - Fax:
Practice Address - Street 1:11801 W EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-0803
Practice Address - Country:US
Practice Address - Phone:208-205-7779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP9507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist