Individual provider Active NPI

McKayla Bisbee, PHARMD

  • Pharmacist
  • Idaho Falls, ID
National Provider Identifier
1962237164
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1261772 Issued in ID
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

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1261772IDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.