KAITLIN ANN ROURK PHARMD
NPI 1063187029
Pharmacist in Boise, ID

Q: What is Kaitlin Rourk's NPI number?

The NPI number for Kaitlin Rourk is 1063187029. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Q: What is Kaitlin Rourk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Rourk was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since August 11, 2021

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2490 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2026, Aug 11, 2021 (2 updates tracked since 2021).

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About Kaitlin Ann Rourk Pharmd NPPES

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

KAITLIN ANN ROURK PHARMD (NPI 1063187029) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P9530) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1063187029

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameKAITLIN ANN ROURKCredential: PHARMD

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address2841 S Taggart LnBoise, ID 83705-4146 · (208) 982-0169

Phone(208) 381-2490

Sole ProprietorYes

Enumeration DateAugust 11, 2021

Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1063187029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in ID · P9530

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.

190 E BANNOCK ST, Boise, ID 83712

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Other Providers at the Same Location NPPES 20

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

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