Active NPI
Cara Kent
- Pharmacist
- Ammon, ID
National Provider Identifier
1497008833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6206
- Practice address
- 1901 S 25TH E
Ammon, ID 83406-5710 - Phone
- (208) 524-1616
- NPI assigned
- Oct 23, 2012
- Last updated
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 | P6206 | ID | Primary |
Addresses
Primary practice location
1901 S 25TH E
Ammon, ID 83406-5710
Mailing address
670 Jex LN
Idaho Falls, ID 83402-5059
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 |
|---|---|---|---|
| P6206 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1497008833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 JEX LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834025059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S 25TH E",
"city": "AMMON",
"state": "ID",
"postal_code": "834065710",
"telephone_number": "208-524-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "CARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.