KEN DIETZ (NPI# 1033777990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| Street Address |
20 E FAIRVIEW AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-1732 |
| 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 |
| 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 Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| 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] |
| 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 |
| 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 | ||||
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| 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.