MR. KIM E. TILLERY


Address: 2638 Longbow Dr, Twin Falls, ID 83301-8946
Phone: 2087354076

MR. KIM E. TILLERY (NPI# 1508096777) 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) 1508096777
Entity Type Individual
Full Name MR. KIM E. TILLERY
Credential RPH
Practice Address 2638 Longbow Dr
Twin Falls
ID 83301-8946
Practice Telephone 2087354076
Practice Fax Number 2083244599
Mailing Telephone 2087354076
Mailing Fax Number 2083244599
Enumeration Date 2009-07-21
Last Update Date 2009-07-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P4585 ID Pharmacy Service Providers

Other Providers KIM TILLERY

NPI Name Taxonomy Address Enumeration
1467599159 Kim L Tillery Audiologist-Hearing Aid Fitter 280 Central Ave, Suny At Fredonia, Fredonia, NY 14063-1127 2007-01-31

Office Location

Street Address 2638 LONGBOW DR
City TWIN FALLS
State ID
Zip Code 83301-8946

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023645918 Matthew Anderson Pharmacist Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 2020-03-23
1780146316 Frontier Pediatric Partners, Pllc Pediatrics 1502 Locust Street N #700, Twin Falls, ID 83301 2019-04-02
1972073377 Wood River Acupuncture Acupuncturist 1625 Addison Ave East, Twin Falls, ID 83301 2018-11-28
1235629874 Lonnie Paul Counselor 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 2018-05-17
1679060966 Christina Jirapha Thongdee Social Worker 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 2018-04-23
1437658499 Tyrel Kevin Ward Chiropractor 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 2018-02-06
1851836381 Tanabell Health Services, Inc Skilled Nursing Facility 1134 Cheney Drive West, Twin Falls, ID 83301 2016-12-19
1578005195 Matthew Carter Physical Therapist 1053 Eastland Drive, Twin Falls, ID 83301 2016-11-14
1790227783 Murvat Usmanova Nurse Practitioner 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 2016-11-08
1265894687 Shawna Fultz Social Worker 1201 Fall Ave East Suite C, Twin Falls, ID 83301 2016-03-24
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023645918 Matthew Anderson Pharmacist Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 2020-03-23
1003100116 Tony Dean Rost Pharmacist 1611 Blue Lakes Blvd N, Twin Falls, ID 83301-3374 2011-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417595067 Teresa Janeen Newsom Pharmacist 2840 S Swallowtail Ln, Boise, ID 83706-6138 2019-12-13
1255714879 Kristin Helmboldt Pharmacist 2309 E Cyanite Dr, Meridian, ID 83642-9072 2015-07-01
1932480431 Amy Anne Mcdougal Pharmacist 1066 N Yellowstone Hwy, Rexburg, ID 83440-5103 2011-08-30
1932496650 Charlotte Loring Pharmacist 909 E Park Center B;vd, Boise, ID 83706 2011-07-01
1215237144 Jacqueline K Kavila Pharmacist 2809 E. Cleveland Blvd, Caldwell, ID 83605 2010-10-26
1093314866 Gregory Aaron Carter Pharmacist 2327 Coronado St, Idaho Falls, ID 83404-7407 2020-10-22
1316544604 James K Hunter Pharmacist 301 Aspen Sq, Saint Anthony, ID 83445-1662 2020-10-08
1629689799 Tanna Marie Schlader Pharmacist 50 2nd St S, Nampa, ID 83651-3700 2020-08-12
1184233579 Kathlene Elizabeth Bailey Pharmacist 3050 E Mullan Ave, Post Falls, ID 83854-8939 2020-07-30
1609414051 Troy M Jackman Pharmacist 709 N Lincoln Ave, Jerome, ID 83338-1851 2019-12-17
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Competitor

Search similar providers

City TWIN FALLS
Zip Code 83301

Improve Information

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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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