Individual provider Active NPI

Tonya Klare

  • Pharmacist
  • Twin Falls, ID
National Provider Identifier
1508604281
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P10752 Issued in ID
Practice address
550 Polk St
Twin Falls, ID 83301-3916
Phone
(208) 814-7375
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
P10752IDMDPharmacist

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P10752 ID Primary

Addresses

Primary practice location

550 Polk St
Twin Falls, ID 83301-3916

Mailing address

1167 Starlight Loop
Twin Falls, ID 83301-5775
Phone (530) 663-3043

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1508604281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 STARLIGHT LOOP",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015775",
            "telephone_number": "530-663-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POLK ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013916",
            "telephone_number": "208-814-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARE",
        "first_name": "TONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P10752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.