Jordan Matthew List, PHARMD - Pharmacist in Boise, ID

Jordan Matthew List, PHARMD is a Pharmacist based in Boise, Idaho. Jordan Matthew List is licensed to practice in Kansas (license number 1-14481) and his current practice location is Va Medical Center, 500 W Fort Street (119), Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 422-1000.

NPI number for Jordan Matthew List is 1225268345 and his current mailing address is 5645 S Daffodil Pl, Boise, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225268345.

Contact Information

Jordan Matthew List, PHARMD
Va Medical Center, 500 W Fort Street (119),
Boise, ID 83702-4598
(208) 422-1000
Not Available

Healthcare Provider's Profile

Full NameJordan Matthew List
GenderMale
SpecialityPharmacist
LocationVa Medical Center, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225268345
  • Provider Enumeration Date: 07/23/2009
  • Last Update Date: 07/23/2009

Medical Identifiers

Medical identifiers for Jordan Matthew List such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225268345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 1-14481 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Matthew List is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Matthew List, PHARMD
5645 S Daffodil Pl,
Boise, ID 83716-6952

Ph: (785) 550-3724
Jordan Matthew List, PHARMD
Va Medical Center, 500 W Fort Street (119),
Boise, ID 83702-4598

Ph: (208) 422-1000

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› Verified 2 days ago


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