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
- Last updated
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.