Active NPI
Mkcade Knox Eilmann, PHARMD
- Pharmacist
- Post Falls, ID
National Provider Identifier
1306607593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10795
- Practice address
- 600 N Cecil Rd
Post Falls, ID 83854-6200 - Phone
- (208) 262-2788
- NPI assigned
- Jan 16, 2024
- Sex
- Male
- 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 | P10795 | ID | Primary |
Addresses
Primary practice location
600 N Cecil Rd
Post Falls, ID 83854-6200
Mailing address
1315 N 7TH St
Coeur D Alene, ID 83814-3236
Phone (253) 324-9782
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
| License | State | Type | Specialty |
|---|---|---|---|
| P10795 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1306607593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 N 7TH ST",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838143236",
"telephone_number": "253-324-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N CECIL RD",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546200",
"telephone_number": "208-262-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EILMANN",
"first_name": "MKCADE",
"middle_name": "KNOX",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.