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JUDD ALAN KNUDSEN RPH
NPI 1104112903
Pharmacist in Fruitland, ID

Active since June 21, 2011
1620 N WHITLEY DR, FRUITLAND, ID 83619(208) 452-7075(208) 452-7446 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2022, Oct 1, 2018 (2 updates tracked since 2018).

About Judd Alan Knudsen Rph NPPES

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

JUDD ALAN KNUDSEN RPH (NPI 1104112903) is an individual pharmacist in Fruitland, Idaho, licensed in Idaho (P6023) and active in the NPI registry since June 2011. He maintains a secondary practice location in Fruitland.

NPPES Registry Identity

NPI1104112903
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJUDD ALAN KNUDSENCredential: RPH
Location Address1620 N WHITLEY DRFruitland, ID 83619-2129
Mailing Address1620 N Whitley DrFruitland, ID 83619-2129 · (208) 452-7075 · Fax (208) 452-7446
Phone(208) 452-7075
Fax(208) 452-7446
Sole ProprietorYes
Enumeration DateJune 21, 2011
Last NPPES UpdateApril 8, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1104112903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in ID · P6023✔ Licensed in NV · 15851
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.
1620 N WHITLEY DR, Fruitland, ID 83619
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Secondary Practice Location 1

Location 11620 N Whitley DrFruitland, ID 83619-2129 · Phone (208) 452-7075 · Fax (208) 452-7446

Other Providers at the Same Location NPPES 7

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

JANETTE KAMESHIGE RPH
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
ALEXANDRIA MONIQUE LANDAVERDE PHARM D.
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
MRS. ERIN DORAINE JACKSON PHARMD, CDM
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
KYLE DARON PHARMD
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
ELEVATE VENTURES, LLC
In Home Supportive Care
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7225
TRENTON JOHN JENKS PHARM. D, CGP
Pharmacist
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075
PRESCRIPTION PAD LLC
Pharmacy (Community/Retail Pharmacy)
1620 N WHITLEY DR
FRUITLAND, ID 83619
Payette County (208) 452-7075

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 Judd Knudsen's NPI number?

The NPI number for Judd Knudsen is 1104112903. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Judd Knudsen located?

Judd Knudsen practices at 1620 N Whitley Dr, Fruitland, ID 83619. The listed phone number is (208) 452-7075.

What is Judd Knudsen'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 Judd Knudsen was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.