Individual provider Active NPI

Kami Thimons, RPH

  • Pharmacist
  • Salmon, ID
National Provider Identifier
1225407273
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P5123 Issued in ID
Practice address
1026 S Challis St
Salmon, ID 83467-5441
Phone
(208) 742-1285
NPI assigned
Sep 21, 2015
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P5123 ID Primary
Pharmacist 183500000X CS6520 ID

Addresses

Primary practice location

1026 S Challis St
Salmon, ID 83467-5441

Mailing address

1026 S Challis St
Salmon, ID 83467-5441
Phone (208) 742-1285

Other identifiers 1

IdentifierTypeStateIssuer
P5123OtherIDSTATE BOARD OF PHARMACY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
CS6520IDMDPharmacist
P5123IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salmon Pharmacy, LLC Current Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients
Shopko Stores Operating Co., LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1225407273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 S CHALLIS ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834675441",
            "telephone_number": "208-742-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 S CHALLIS ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834675441",
            "telephone_number": "208-742-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIMONS",
        "first_name": "KAMI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5123",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "CS6520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "P5123",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.