KEN DIETZ


Address: 20 E Fairview Ave, Meridian, ID 83642-1732
Phone: 2088884414

KEN DIETZ (NPI# 1033777990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033777990
Entity Type Individual
Full Name KEN DIETZ
Practice Address 20 E Fairview Ave
Meridian
ID 83642-1732
Mailing Address 4582 W Gillette St
Meridian
ID 83642-4278
Practice Telephone 2088884414
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183700000X Pharmacy Technician Pharmacy Service Providers

Office Location

Street Address 20 E FAIRVIEW AVE
City MERIDIAN
State ID
Zip Code 83642-1732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659327161 Albertsons LLC Durable Medical Equipment & Medical Supplies 20 E Fairview Ave, Meridian, ID 83642 2006-05-26
1194028498 Dora Jean Lechtenberg Pharmacist 20 E Fairview Ave, Meridian, ID 83642-1732 2010-12-08
1235432626 Edward Houston Pharmacist 20 E Fairview Ave, Meridian, ID 83642-1732 2010-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 183700000X
Grouping Pharmacy Service Providers
Classification Pharmacy Technician

Taxonomy Definition

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154962116 John Aaron Roberts Pharmacy Technician 1625 S Meridian Rd, Meridian, ID 83642-9355 2019-10-01
1326606120 Breanna Dee Comstock Pharmacy Technician 3301 W Cherry Ln, Meridian, ID 83642-1119 2019-06-05
1770141558 Britta Sheldon Pharmacy Technician 3301 W Cherry Ln, Meridian, ID 83642-1119 2019-06-05
1154989440 Tyler Callahan Pharmacy Technician 3499 E Fairview Ave, Meridian, ID 83642-5848 2019-05-31
1275014474 Jaime Richardson Pharmacy Technician 3150 W Cherry Ln, Meridian, ID 83642-1122 2018-08-24
1073094686 Margarita Quiroz Pharmacy Technician 1625 S Meridian Rd, Meridian, ID 83642 2018-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972111516 Michelle Roxann Lauber Pharmacy Technician 210 Ascent Ct Apt B, Middleton, ID 83644-5383 2020-07-20
1669005781 Lindsay Ranaye Lisher Pharmacy Technician 1080 Lisher Cut Off, Potlatch, ID 83855-9632 2020-02-17
1518448703 Michel Cox Pharmacy Technician 2219 12th Ave S, Nampa, ID 83686 2018-08-24
1750980017 Andrea Johnson Murray Pharmacy Technician 190 E Bannock St, Boise, ID 83712-6241 2020-10-19
1679181234 Sheila Ann Pulley Pharmacy Technician 179 W Highway 52, Emmett, ID 83617-9737 2020-07-20
1912515560 Gretchen Kletzer Hancock Pharmacy Technician 179 W Highway 52, Emmett, ID 83617-9737 2020-07-20
1245848225 Kathryne Kuhn Pharmacy Technician 260 W Honeysuckle Ave, Hayden, ID 83835-9270 2020-07-16
1699393066 Flor Viernes Pharmacy Technician 706 E Seltice Way, Post Falls, ID 83854-8674 2020-07-11
1790303253 Brian Schneider Pharmacy Technician 706 E Seltice Way, Post Falls, ID 83854-8674 2020-07-10
1164047635 Bridget Moore Pharmacy Technician 1545 E 6th St, Weiser, ID 83672-1495 2020-06-10
Find all providers with the same taxonomy

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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