Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Andrew Tominaga

Individual provider Pharmacist · NPI 1164793766

Dr. Jason Andrew Tominaga is a Pharmacist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012

Practice location Address checks out

8100 W Fairview Ave
Boise, ID 83704-8425
Phone: (208) 375-2825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P6407 (ID)

Record details

NPI number1164793766
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2012
Last updated in NPPESJanuary 13, 2012

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