Active NPI
Alice May Knotts, RPH
- Pharmacist
- Coeur d'Alene, ID
National Provider Identifier
1114402740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P8178
- Practice address
- 700 W Ironwood Dr Ste 246
Coeur D Alene, ID 83814-4473 - Phone
- (208) 625-5688
- NPI assigned
- Sep 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P8178 | ID | Primary |
Addresses
Primary practice location
700 W Ironwood Dr Ste 246
Coeur D Alene, ID 83814-4473
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5688
Other practice location 1
1660 S Columbian Way
Seattle, WA 98108
Other names 1
- Alice May Long
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)
- Enrolled
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Past | Accepting new patients | |
| Cornerstone Whole Healthcare Organization, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba C-Who
- Multi-Specialty Clinic/Center
- Nampa, ID
- NPI 1164153508
-
dba Kootenai Medical Center Group
- Emergency Medicine Physician
- Coeur d'Alene, ID
- NPI 1235288655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1114402740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR STE 246",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144473",
"telephone_number": "208-625-5688"
}
],
"practiceLocations": [
{
"address_1": "1660 S Columbian Way",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98108",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOTTS",
"first_name": "ALICE",
"middle_name": "MAY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICE",
"last_name": "LONG",
"middle_name": "MAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.