JOHN MICHAEL AMINI, R.Ph — NPI 1578629069 (Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in MERIDIAN, ID)

CMS-1500 Box 24J / 33a • NPI

1578629069

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835P0018X

Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Box 32 Service Location & ZIP+4

2790 W CHERRY LN STE 100, MERIDIAN, ID, 83642-1102

✓ 9-Digit EDI 837 ZIP+4 (83642-1102)

Practice Phone & Referral Fax

(208) 288-1496

Fax: (208) 288-1812

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1578629069 (JOHN MICHAEL AMINI, R.Ph) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1578629069` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOHN MICHAEL AMINI, R.Ph
Plain-English Specialty	Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist NUCC Code: `1835P0018X` (Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2790 W CHERRY LN STE 100, MERIDIAN, ID, 83642-1102
Practice Telephone / Fax	Tel: (208) 288-1496 \| Fax: (208) 288-1812
Administrative Mailing Address	4722 N EAGLE POINTE PL, STAR, ID, 83669-5361
Enumeration & Last Sync	Enumerated: 2006-12-29 \| CMS Record Updated: 2018-12-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2790 W CHERRY LN STE 100, MERIDIAN, ID, 83642-1102

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Plain-English Taxonomy & CMS Crosswalk (1835P0018X)

What Does Taxonomy Code 1835P0018X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P0018X translates to:
"Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN MICHAEL AMINI, R.Ph)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835P0018X` — Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Plain English: Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	State: ID \| License: `P6728` \| Primary: Yes (Primary)
`183500000X` — Pharmacist Plain English: Licensed & Credentialed Pharmacist	State: WA \| License: `PH 00016378` \| Primary: Secondary
`1835P1200X` — Pharmacist, Pharmacotherapy Plain English: Licensed & Credentialed Pharmacist, Pharmacotherapy	State: WA \| License: `PH 00016378` \| Primary: Secondary
`1835P1200X` — Pharmacist, Pharmacotherapy Plain English: Licensed & Credentialed Pharmacist, Pharmacotherapy	State: ID \| License: `P6728` \| Primary: Secondary

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JOHN MICHAEL AMINI, R.Ph (NPI #1578629069)