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DR. KYLE SHANE HOGABOAM PHARM D
NPI 1043552839
Pharmacist in Othello, WA

Active since March 20, 2013
140 E MAIN ST, OTHELLO, WA 99344(509) 994-2142 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kyle Shane Hogaboam Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE SHANE HOGABOAM PHARM D (NPI 1043552839) is an individual pharmacist in Othello, Washington, licensed in Washington (PH00040386) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1043552839
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KYLE SHANE HOGABOAMCredential: PHARM D
Location Address140 E MAIN STOthello, WA 99344-1040
Mailing Address140 East MainOthello, WA 99344 · (509) 994-2142
Phone(509) 994-2142
Sole ProprietorNo
Enumeration DateMarch 20, 2013
✔ NPI 1043552839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WA · PH00040386
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
140 E MAIN ST, Othello, WA 99344
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARISSA JIMENEZ RDH
Dental Hygienist
140 E MAIN ST
OTHELLO, WA 99344
Adams County (509) 488-5256
KITTRICK KANE PAC
Physician Assistant (Medical)
140 E MAIN ST
OTHELLO, WA 99344
Adams County (509) 488-5256
JANE ELIZABETH SMITH M.A.
Speech-Language Pathologist
140 E MAIN ST
OTHELLO, WA 99344
Adams County (509) 488-5256
CHI MAC
Pharmacist
140 E MAIN ST
OTHELLO, WA 99344
Adams County (509) 488-5256
LUSILA JUDITH VALDEZ RDH
Dental Hygienist
140 E MAIN ST
OTHELLO, WA 99344
Adams County (509) 488-5256
JEFFREY CHANG D.M.D.
Student in an Organized Health Care Education/Training Program
140 E MAIN ST
OTHELLO, WA 99344
Adams County (650) 575-7594
DR. NOAH ROBERT FRERICHS D.M.D.
Dentist
140 E MAIN ST
OTHELLO, WA 99344
Adams County (509) 488-5256
DR. DIEN V NGUYEN DDS
Dentist (General Practice)
140 E MAIN ST
OTHELLO, WA 99344
Adams County (509) 488-5256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Hogaboam's NPI number?

The NPI number for Kyle Hogaboam is 1043552839. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Kyle Hogaboam located?

Kyle Hogaboam practices at 140 E Main St, Othello, WA 99344. The listed phone number is (509) 994-2142.

What is Kyle Hogaboam's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kyle Hogaboam was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.