Active NPI
Timothy Anton Rambur, PHARM.D.
- Pharmacist
- Twin Falls, ID
National Provider Identifier
1902367436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P4688
- Practice address
- 1203 Filer Ave E
Twin Falls, ID 83301-4118 - Phone
- (208) 734-8177
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | P4688 | ID | Primary |
Addresses
Primary practice location
1203 Filer Ave E
Twin Falls, ID 83301-4118
Mailing address
1908 Northern Sky Dr
Twin Falls, ID 83301-3918
Phone (208) 308-8693
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 |
|---|---|---|---|
| P4688 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K Hefner, Inc | Past | Accepting new patients | |
| K Hefner, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Long Term Care Pharmacy
- Twin Falls, ID
- NPI 1972293413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1902367436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 NORTHERN SKY DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013918",
"telephone_number": "208-308-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 FILER AVE E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014118",
"telephone_number": "208-734-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMBUR",
"first_name": "TIMOTHY",
"middle_name": "ANTON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P4688",
"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 Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.