DR. KEVIN WERNER CLEVELAND (NPI# 1811999592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811999592 |
| Entity Type | Individual |
| Full Name | DR. KEVIN WERNER CLEVELAND |
| Credential | PHARM.D. |
| Practice Address |
1295 Parkway Dr Blackfoot ID 83221-1683 |
| Mailing Address |
752 Bitteroot Dr Pocatello ID 83201-2711 |
| Practice Telephone | 2087852073 |
| Mailing Telephone | 2082325314 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5762 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508853250 | Kevin B Cleveland | Orthopaedic Surgery | 1211 Union Ave Ste 500, Memphis, TN 38104-6656 | 2005-09-28 |
| 1568619096 | Kevin R Cleveland | Case Manager/Care Coordinator | 100 S University Ave, Suite 401, Little Rock, AR 72205-5213 | 2008-08-27 |
| Street Address |
1295 PARKWAY DR |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195776 | Kryston Chenay Carling | Pharmacist | 1295 Parkway Dr, Blackfoot, ID 83221-1683 | 2019-07-15 |
| 1104260595 | Scott C. Johnson | Pharmacist | 1295 Parkway Dr, Blackfoot, ID 83221-1683 | 2013-04-29 |
| 1104072396 | John Rich Hoge | Pharmacist | 1295 Parkway Dr, Blackfoot, ID 83221-1683 | 2008-08-07 |
| 1679609077 | Ridleys Family Markets Inc | Pharmacy | 1295 Parkway Dr, Blackfoot, ID 83221-1683 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| 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 |
|---|---|---|---|---|
| 1548481021 | Randy Jeramy Jones | Pharmacist | 960 W Bridge St, Blackfoot, ID 83221-1912 | 2007-05-01 |
| 1043818800 | Jordan Hinckley | Pharmacist | 960 W Bridge St, Blackfoot, ID 83221-1912 | 2020-10-14 |
| 1821601923 | Christopher James Smith | Pharmacist | 960 W Bridge St, Blackfoot, ID 83221-1912 | 2020-08-28 |
| 1376195776 | Kryston Chenay Carling | Pharmacist | 1295 Parkway Dr, Blackfoot, ID 83221-1683 | 2019-07-15 |
| 1134691199 | Robert Nathan Miller | Pharmacist | 69 N Pine St, Blackfoot, ID 83221-2053 | 2018-12-31 |
| 1023504651 | Amanda Wray | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-07-06 |
| 1184115107 | Megan Nicole Broyles | Pharmacist | 98 Poplar St, Blackfoot, ID 83221 | 2018-05-24 |
| 1184005795 | Natasha Bennett | Pharmacist | 565 Jensen Grove Dr, Blackfoot, ID 83221-1682 | 2015-06-10 |
| 1952710584 | Guy William Andrews | Pharmacist | 565 Jensen Grove Dr, Blackfoot, ID 83221-1682 | 2014-08-07 |
| 1497164537 | Cathrynn Stewart Whipple | Pharmacist | 565 Jensen Grove Dr, Blackfoot, ID 83221-1682 | 2014-08-02 |
| Find all providers in BLACKFOOT | ||||
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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.