MR. MICHAEL THOMAS MCKINNEY (NPI# 1235632258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235632258 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL THOMAS MCKINNEY |
| Credential | RPH |
| Practice Address |
315 E Elm St Ste 150 Caldwell ID 83605-4864 |
| Practice Telephone | 2054591503 |
| Practice Fax Number | 2084591504 |
| Mailing Telephone | 2054591503 |
| Mailing Fax Number | 2084591504 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5063 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225406374 | Michael Richard Mckinney | Pharmacist | 3513 Baker Rd Nw, Suite 500, Acworth, GA 30101-3706 | 2015-09-07 |
| 1417369513 | Michael Mckinney | Technician, Pathology | 4109 Navaho Ave, Memphis, TN 38118-2165 | 2014-05-22 |
| 1033372701 | Michael J Mckinney | Dentist | 85 Countryside Lane #8, Orchard Park, NY 14127 | 2008-07-03 |
| 1972642734 | Michael Kent Mckinney Jr. | Dentist | Jct Rt. 680 & Hwy 122, Minnie, KY 41651 | 2007-02-06 |
| 1043226210 | Michael William Mckinney I | Chiropractor | 842 E. Washington St., Suite A, San Diego, CA 92103 | 2006-07-31 |
| 1295724771 | Michael Eugene Mckinney | Internal Medicine | 349 Bogle Street, Suite A, Lake Cumberland Cardiology Associates, Somerset, KY 42503 | 2005-10-18 |
| 1528050135 | Michael Karl Mckinney | Internal Medicine | 401 S Calvary Way, Ste. D, Cottonwood, AZ 86326-4165 | 2005-08-19 |
| 1114922184 | Michael J. Mckinney | Optometrist | 2816 Wheaton Way, Bremerton, WA 98310-3433 | 2005-06-16 |
| 1861989469 | Michael Lee Mckinney Jr. | Specialist/Technologist, Other | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2018-04-18 |
| 1629583521 | Michael Paul Mckinney | Physician Assistant | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2017-12-13 |
| Street Address |
315 E ELM ST STE 150 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1912400078 | Kellye Schab | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605-4864 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| 1104239169 | Nichelle Daigle | Pharmacist | 622 E Ustick Rd, Caldwell, ID 83605 | 2014-06-08 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1104239169 | Nichelle Daigle | Pharmacist | 622 E Ustick Rd, Caldwell, ID 83605 | 2014-06-08 |
| 1679910491 | Trisha M Beutler | Pharmacist | 11809 Shalako Rd, Caldwell, ID 83607-5095 | 2013-06-03 |
| 1477839405 | Chad Boughey | Pharmacist | 7017 Noah Dr Apt 201, Caldwell, ID 83607-5339 | 2011-10-21 |
| 1326335746 | Raymond Joffer | Pharmacist | 2500 Blaine St., Caldwell, ID 83605-4426 | 2011-07-06 |
| 1841519774 | Mital C Shah | Pharmacist | 356 Bloomfield Ave, Caldwell, NJ 07006-4905 | 2010-05-17 |
| 1215092044 | Rebecca Sue Dunlap | Pharmacist | 44523 Marietta Road, Caldwell, OH 43724 | 2006-12-22 |
| 1992800361 | Gregory Allen Paisley | Pharmacist | 109 West Street, Caldwell, OH 43724-1359 | 2006-09-13 |
| Find all providers in CALDWELL | ||||
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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.