KENNETH ROY INSELMAN (NPI# 1295008969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295008969 |
| Entity Type | Individual |
| Full Name | KENNETH ROY INSELMAN |
| Credential | R.PH |
| Practice Address |
179 W Highway 52 Emmett ID 83617-9738 |
| Practice Telephone | 2082729454 |
| Practice Fax Number | 2082729460 |
| Mailing Telephone | 2082729454 |
| Mailing Fax Number | 2082729460 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | P3625 | ID | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
P3625 | ID | Pharmacy Service Providers |
| Street Address |
179 W HIGHWAY 52 |
| City | EMMETT |
| State | ID |
| Zip Code | 83617-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437324910 | Mandi Marie Forrester | Pharmacist | 179 W Highway 52, Emmett, ID 83617-9738 | 2008-04-25 |
| 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 |
| 1568738045 | Diane E Strauchon | Pharmacy Technician | 179 W Highway 52, Emmett, ID 83617-9738 | 2012-03-28 |
| 1437424512 | Amanda Dawn Flores | Pharmacy Technician | 179 W Highway 52, Emmett, ID 83617-9738 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
| 1407984966 | Jill Janay Sprague | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
| 1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
| 1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| Find all providers in zip 83617 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679817811 | Robert Wills | Pharmacist | 1001 W Resseguie St, Boise, ID 83702-4106 | 2012-11-10 |
| 1154535664 | Camille Marie Nulph | Pharmacist | 4240 Yellowstone Avenue, Walmart Pharmacy, Chubbuck, ID 83202 | 2007-05-10 |
| 1952513046 | Michelle Lee Steed | Pharmacist | 1106 W Ironwood Dr, Coeur D Alene, ID 83814-2480 | 2007-05-03 |
| 1801018718 | Cara Ann Liday | Pharmacist | Intermountain Medical Clinic, 1951 Bench Rd., Suite B, Pocatello, ID 83201 | 2007-05-02 |
| 1306875794 | Jim Allen | Pharmacist | 5658 E Maple Creek Rd, Franklin, ID 83237-5102 | 2006-06-30 |
| 1528052008 | The Pharmacy Doctor, Inc. | Pharmacist | 1471 Shoreline Dr, Suite 100, Boise, ID 83702-6879 | 2005-09-09 |
| 1265424105 | Rex W Force | Pharmacist | Isu Box 8357, 465 Memorial Drive, Pocatello, ID 83209-0001 | 2005-08-17 |
| 1578555603 | Nicole Murdock | Pharmacist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2005-08-16 |
| 1235131004 | Paul S Cady | Pharmacist | 13 Temple Ave, Pocatello, ID 83201-3427 | 2005-08-11 |
| 1265434047 | Joseph F. Steiner | Pharmacist | Idaho State University College of Pharmacy, Campus Box 8288, Pocatello, ID 83209-0001 | 2005-08-11 |
| 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.