DR. KYLEE A SHRIVER (NPI# 1679197479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679197479 |
| Entity Type | Individual |
| Full Name | DR. KYLEE A SHRIVER |
| Credential | PHARMD |
| Practice Address |
731 Pole Line Rd Twin Falls ID 83301-3036 |
| Mailing Address |
1230 E 4100 N Buhl ID 83316-5548 |
| Practice Telephone | 2087361725 |
| Mailing Telephone | 2087311309 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P8820 | ID | Pharmacy Service Providers |
| Street Address |
731 POLE LINE RD |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326158932 | Costco Wholesale Corporation | Pharmacy | 731 Pole Line Rd, Twin Falls, ID 83301 | 2006-08-30 |
| 1194271593 | Maggie Tang | Pharmacist | 731 Pole Line Rd, Twin Falls, ID 83301-3036 | 2016-08-26 |
| 1104210681 | Costco Wholesale Corporation | Hearing Aid Equipment | 731 Pole Line Rd, Twin Falls, ID 83301-3036 | 2015-03-24 |
| 1003207382 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 731 Pole Line Rd, Twin Falls, ID 83301-3036 | 2015-02-09 |
| 1891060687 | Shannon Leigh Thomason | Pharmacist | 731 Pole Line Rd, Twin Falls, ID 83301-3036 | 2012-03-13 |
| 1730454554 | Linda Rae Helgeland | Pharmacist | 731 Pole Line Rd, Twin Falls, ID 83301-3036 | 2012-03-12 |
| 1255603999 | Jeanne Maria Russow | Pharmacist | 731 Pole Line Rd, Twin Falls, ID 83301-3036 | 2012-01-26 |
| 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 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902387566 | Mason Goodman | Pharmacist | 714 N College Rd Ste A, Twin Falls, ID 83301-5812 | 2018-08-22 |
| 1487187621 | Emmylou Baird | Pharmacist | 995 Washington St S, Twin Falls, ID 83301-5530 | 2017-04-05 |
| 1326418369 | Reynold Ellisr French | Pharmacist | 2013 Mountain View Cir, Twin Falls, ID 83301-4317 | 2015-10-02 |
| 1275926958 | Lori Ann Poppleton | Pharmacist | 3264 Canyon Pl, Twin Falls, ID 83301-8180 | 2015-03-05 |
| 1386907467 | Tamara Ann Cheslik | Pharmacist | 1649 Pole Line Rd E, Twin Falls, ID 83301-3592 | 2012-06-22 |
| 1881965689 | Cathi Baily Ketterling | Pharmacist | 233 Edwards Dr, Twin Falls, ID 83301-0105 | 2012-01-25 |
| 1861680753 | Brian Weaver | Pharmacist | 1139 Addison Ave E, Twin Falls, ID 83301-5224 | 2007-10-05 |
| 1437150745 | Deborah Catherine Burr | Pharmacist | 725 Pole Line Rd W, Twin Falls, ID 83301-5860 | 2005-08-09 |
| 1093320624 | Trell James Dowd | Pharmacist | 705 Blue Lakes Blvd N, Twin Falls, ID 83301 | 2020-09-10 |
| 1245840586 | Dorothy Burnham | Pharmacist | 1611 Blue Lakes Blvd N, Twin Falls, ID 83301-3374 | 2020-08-02 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on DR. KYLEE A SHRIVER.
| 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.