Individual provider Active NPI

Kyle Thomas Smith, PHARMD

  • Pharmacist
  • Meridian, ID
National Provider Identifier
1083133441
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P9930 Issued in ID
Practice address
2971 E Copper Point Dr Ste 125
Meridian, ID 83642-9277
Phone
(208) 999-0541
NPI assigned
Sep 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19351 NV
Pharmacist 183500000X 23822 AZ
Pharmacist 183500000X P9930 ID Primary
Pharmacist 183500000X 14013445-1701 UT

Addresses

Primary practice location

2971 E Copper Point Dr Ste 125
Meridian, ID 83642-9277

Mailing address

2971 E Copper Point Dr Ste 125
Meridian, ID 83642-9277

Other practice location 1

5875 E Franklin Rd
Nampa, ID 83687-5450
Phone (208) 461-8718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
23822AZMDPharmacist
P9930IDMDPharmacist
19351NVMDPharmacist
14013445-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Mind Idaho LLC Current Accepting new patients

Locations

2971 E Copper Point Dr
Ste 125
Meridian, ID 83642
Phone (208) 893-5383

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1083133441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 125",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 E COPPER POINT DR STE 125",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429277",
            "telephone_number": "208-999-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5875 E Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836875450",
            "country_code": "US",
            "telephone_number": "208-461-8718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19351",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "23822",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P9930",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "14013445-1701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.