Active NPI
McKayla Bisbee, PHARMD
- Pharmacist
- Idaho Falls, ID
National Provider Identifier
1962237164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1261772
- Practice address
- 590 E 17TH St
Idaho Falls, ID 83404-6154 - Phone
- (208) 523-1090
- NPI assigned
- Sep 6, 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 | 1261772 | ID | Primary |
Addresses
Primary practice location
590 E 17TH St
Idaho Falls, ID 83404-6154
Mailing address
3021 Sunburst Dr
Ammon, ID 83406-6918
Phone (208) 604-2324
Other practice location 1
1901 S 25th E
Ammon, ID 83406-5710
Phone (208) 524-1616
Other practice location 2
490 N 2nd E
Rexburg, ID 83440-1654
Phone (208) 542-2088
Other practice location 3
330 E Benton St
Pocatello, ID 83201-6526
Phone (208) 233-0651
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 |
|---|---|---|---|
| 1261772 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ardmore, OK
- NPI 1134958457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1962237164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 SUNBURST DR",
"city": "AMMON",
"state": "ID",
"postal_code": "834066918",
"telephone_number": "208-604-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046154",
"telephone_number": "208-523-1090"
}
],
"practiceLocations": [
{
"address_1": "1901 S 25th E",
"address_purpose": "LOCATION",
"city": "Ammon",
"state": "ID",
"postal_code": "834065710",
"country_code": "US",
"telephone_number": "208-524-1616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "490 N 2nd E",
"address_purpose": "LOCATION",
"city": "Rexburg",
"state": "ID",
"postal_code": "834401654",
"country_code": "US",
"telephone_number": "208-542-2088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 E Benton St",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832016526",
"country_code": "US",
"telephone_number": "208-233-0651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISBEE",
"first_name": "MCKAYLA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "1261772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.