Individual provider Active NPI

Kurtis Wayne Nokes, PHARMD

  • Pharmacist
  • Twin Falls, ID
National Provider Identifier
1952035149
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P10054 Issued in ID
Practice address
2045 Rivercrest Dr Apt 204
Twin Falls, ID 83301-3089
Phone
(801) 718-3418
NPI assigned
Jul 13, 2022
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P10054 ID Primary

Addresses

Primary practice location

2045 Rivercrest Dr Apt 204
Twin Falls, ID 83301-3089

Mailing address

2045 Rivercrest Dr Apt 204
Twin Falls, ID 83301-3089

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
P10054IDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1952035149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 RIVERCREST DR APT 204",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 RIVERCREST DR APT 204",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013089",
            "telephone_number": "801-718-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKES",
        "first_name": "KURTIS",
        "middle_name": "WAYNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P10054",
            "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 13, 2022; 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.