Active NPI
Kylee A Shriver, PHARMD
- Pharmacist
- Twin Falls, ID
National Provider Identifier
1679197479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P8820
- Practice address
- 705 Blue Lakes Blvd N
Twin Falls, ID 83301-4007 - Phone
- (208) 736-5373
- NPI assigned
- Jun 8, 2020
- Last updated
- Jun 28, 2024
- 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 | P8820 | ID | Primary |
Addresses
Primary practice location
705 Blue Lakes Blvd N
Twin Falls, ID 83301-4007
Mailing address
823 Craven Ave
Buhl, ID 83316-1813
Phone (208) 731-1309
Other practice location 1
267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433 ext. 1195
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 |
|---|---|---|---|
| P8820 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Cardiology Associates, P.S. | 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.
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- NPI 1679522106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1679197479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 CRAVEN AVE",
"city": "BUHL",
"state": "ID",
"postal_code": "833161813",
"telephone_number": "208-731-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 BLUE LAKES BLVD N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014007",
"telephone_number": "208-736-5373"
}
],
"practiceLocations": [
{
"address_1": "267 N Canyon Dr",
"address_purpose": "LOCATION",
"city": "Gooding",
"state": "ID",
"postal_code": "833305500",
"country_code": "US",
"telephone_number": "208-934-4433 x1195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHRIVER",
"first_name": "KYLEE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8820",
"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 Jun 28, 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.