DR. KYLE K DAVIS (NPI# 1730512450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730512450 |
| Entity Type | Individual |
| Full Name | DR. KYLE K DAVIS |
| Credential | PHARMD |
| Practice Address |
10530 W Carlton Bay Dr Garden City ID 83714-5111 |
| Mailing Address |
964 E Curling Dr Boise ID 83702-1911 |
| Practice Telephone | 2083192482 |
| Mailing Telephone | 2083426492 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P6873 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424191 | Kyle Davis | Physical Therapy Assistant | 6485 Beard Ave, Cocoa, FL 32927-4255 | 2019-03-01 |
| 1104299825 | Kyle Davis | Technician, Other | 310 E Liberty St Apt 12, Plymouth, MI 48170-1476 | 2015-11-03 |
| 1821331968 | Kyle G Davis | Pharmacist | 250 E Jewett Blvd, White Salmon, WA 98672-3000 | 2013-03-27 |
| 1104442144 | Kyle Davis | Dentist | 807 W Gardner Dr, Marion, IN 46952-1819 | 2020-06-24 |
| 1255898532 | Kyle Patrick Davis | Behavior Technician | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2019-02-22 |
| 1235600206 | Kyle Andrew Davis | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2018-12-17 |
| 1114492501 | Kyle Elliott Davis | Case Manager/Care Coordinator | 19019 Ventura Blvd, Tarzana, CA 91356-3253 | 2018-10-11 |
| 1376905745 | Kyle Erik Davis | Family Medicine | 1600 E High St, Pottstown, PA 19464-5008 | 2016-03-24 |
| 1063870178 | Kyle Davis | Genetic Counselor, MS | 2677 E Parleys Way, Salt Lake City, UT 84109-1617 | 2016-02-03 |
| 1053796664 | Kyle Davis | Case Manager/Care Coordinator | 3360 N Highway 59, Suite K, Merced, CA 95348-9404 | 2015-07-24 |
| Street Address |
10530 W CARLTON BAY DR |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457635617 | Tina U Bandekar | Pharmacist | 10530 W Carlton Bay Dr, Garden City, ID 83714-5111 | 2011-10-06 |
| 1457795692 | Kim Johnson | Pharmacist | 10530 W Carlton Bay Dr, Garden City, ID 83714-5111 | 2013-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| 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 |
|---|---|---|---|---|
| 1841817566 | Amee A Shah | Pharmacist | 6255 Inkster Rd Ste 106, Garden City, MI 48135-2538 | 2020-06-29 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1366964579 | Inemesit Akpan | Pharmacist | 501 Franklin Ave Ste 300, Garden City, NY 11530-5807 | 2017-07-10 |
| 1215460449 | Hiam Bazzi | Pharmacist | 819 Inkster Rd, Garden City, MI 48135-4118 | 2017-04-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1548623952 | David Wolnie | Pharmacist | 29600 Ford Rd, Garden City, MI 48135-2365 | 2016-04-02 |
| 1629469440 | Emile Dicairano | Pharmacist | 22 Stratford Ave, Garden City, NY 11530-2346 | 2015-02-16 |
| 1396172979 | Stanley Abraham Saji | Pharmacist | 501 Franklin Ave Ste 140, Garden City, NY 11530-5807 | 2013-09-27 |
| 1245671650 | Fatima Sader | Pharmacist | 29447 Ford Rd, Garden City, MI 48135-2319 | 2013-07-13 |
| 1215285960 | Fatme Rakine | Pharmacist | 29452 Cherry Hill Rd, Garden City, MI 48135-2613 | 2012-08-28 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
Please comment or provide details below to improve the information on DR. KYLE K DAVIS.
| 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.