Active NPI
Kris Leigh Newby, CPT
- Pharmacy Technician
- Pocatello, ID
National Provider Identifier
1124776380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CT20957
- Practice address
- 330 E Benton St
Pocatello, ID 83201-6526 - Phone
- (208) 233-0651
- NPI assigned
- Mar 16, 2022
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CT20957 | ID | Primary |
Addresses
Primary practice location
330 E Benton St
Pocatello, ID 83201-6526
Mailing address
2080 Faye LN
Address Line 2
Pocatello, ID 83201
Phone (208) 705-8955
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT20957 | ID | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1124776380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 FAYE LN",
"address_2": "ADDRESS LINE 2",
"city": "POCATELLO",
"state": "ID",
"postal_code": "83201",
"telephone_number": "208-705-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E BENTON ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832016526",
"telephone_number": "208-233-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBY",
"first_name": "KRIS",
"middle_name": "LEIGH",
"credential": "CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "ID",
"license": "CT20957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.