Megan Nicole Broyles, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

P7263 Issued in ID

Practice address

98 Poplar St
Blackfoot, ID 83221

Phone

(208) 782-3955

Fax

(208) 782-3709

NPI assigned

May 24, 2018

Last updated

May 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Smiths Food & Drug Centers Inc

  dba Smiths Pharmacy #61

  • Community/Retail Pharmacy
  • Chubbuck, ID
  • NPI 1972528594
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1184115107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8759 W BARTON RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047101",
            "telephone_number": "208-242-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 POPLAR ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "83221",
            "telephone_number": "208-782-3955",
            "fax_number": "208-782-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Yellowstone Ave",
            "address_purpose": "LOCATION",
            "city": "Chubbuck",
            "state": "ID",
            "postal_code": "832022333",
            "country_code": "US",
            "telephone_number": "208-237-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Don Boehme
• Kerry Lynn Bowman, MS, CCC-SLP
• Bridges of Hope Psychiatry
• Brooke Brown, APRN-CNP
• Lynette Mardel Brown, M.D., PH.D.
• Charles Douglas Bryan
• Cody Allen Burgess
• Richard Russell Burt, DDS
• Gary D Call, DO
• Thomas Call, DO

• Pharmacist in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.