Individual provider Active NPI

Karen C Henry, PHARMD

  • Community/Retail Pharmacy
  • Twin Falls, ID
National Provider Identifier
1538775010
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P5098 Issued in ID
Practice address
139 Main Ave W
Twin Falls, ID 83301-6194
Phone
(208) 733-8323
Fax
(208) 733-8325
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X P5098 ID Primary

Addresses

Primary practice location

139 Main Ave W
Twin Falls, ID 83301-6194

Mailing address

3363 E 3500 N
Kimberly, ID 83341-5219
Phone (208) 421-2968

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL savmordrug@outlook.com Direct

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

LicenseStateTypeSpecialty
P5098IDMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Sav-Mor Drug LLC Community/Retail Pharmacy CurrentSince Sep 27, 2020 Accepting new patients

Locations

139 Main Ave W
Twin Falls, ID 83301
Phone (208) 733-8323

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1538775010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 E 3500 N",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415219",
            "telephone_number": "208-421-2968",
            "fax_number": "208-733-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MAIN AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016194",
            "telephone_number": "208-733-8323",
            "fax_number": "208-733-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KAREN",
        "middle_name": "C",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "P5098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "savmordrug@outlook.com",
            "affiliation": "N",
            "endpointDescription": "twin falls",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Twin Falls",
            "address_1": "139 Main Ave W",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833016194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 19, 2020; 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.