Kelly-Wihler Djine Mboumenou, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

9181224 Issued in ID

Practice address

7402 W Fairview Ave
Boise, ID 83704-8411

Phone

(208) 375-4670

Fax

(401) 735-1080

NPI assigned

Sep 19, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1740192236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 W FAIRVIEW AVE APT E206",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137921",
            "telephone_number": "208-915-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048411",
            "telephone_number": "208-375-4670",
            "fax_number": "401-735-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJINE MBOUMENOU",
        "first_name": "KELLY-WIHLER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "9181224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelyn Ditter
• Division of Veterans Services
• Gage Dixon, PHARMD
• Jaimen L. Dixon, O.D.
• Aida Dizdar-Barac, LCSW
• James C Dobbins, BS
• Kara Lynn Dobsa, CNM
• Michelle Ashley Dobson, CSFA, CSA
• Pepper Dobson, C.M.T
• Patricia Antoinette Dock, BS, MS, MS

• Pharmacist in Boise, ID
• Providers in Boise, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.