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

Sandy Dervisevic

Individual provider Pharmacist · NPI 1326721606

Sandy Dervisevic is a Pharmacist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

8300 W Overland Rd
Boise, ID 83709-1639
Phone: (208) 321-9080
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P10821 (ID)

Record details

NPI number1326721606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address6082 S Tallowtree Way, Boise, ID 83716-6966

Other providers in Boise