CHEYENE JOSEPH NICKERSON
NPI 1306369681
Pharmacist in Blackfoot, ID

Active since July 19, 2017
565 JENSEN GROVE DR, BLACKFOOT, ID 83221(208) 785-0277 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017 (2 updates tracked since 2017).

About Cheyene Joseph Nickerson NPPES

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

CHEYENE JOSEPH NICKERSON (NPI 1306369681) is an individual pharmacist in Blackfoot, Idaho, licensed in Idaho (P7793) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1306369681
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCHEYENE JOSEPH NICKERSON
Location Address565 JENSEN GROVE DRBlackfoot, ID 83221-1682
Mailing Address132 E Lake StMccall, ID 83638-3811 · (208) 634-2433
Sole ProprietorYes
Enumeration DateJuly 19, 2017
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
NPI 1306369681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P7793
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.
565 JENSEN GROVE DR, Blackfoot, ID 83221

Other Providers at the Same Location NPPES 6

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

Pharmacist
565 JENSEN GROVE DR
BLACKFOOT, ID 83221
Pharmacist
565 JENSEN GROVE DR
BLACKFOOT, ID 83221
Pharmacy (Community/Retail Pharmacy)
565 JENSEN GROVE DR
BLACKFOOT, ID 83221
Eyewear Supplier
565 JENSEN GROVE DR
BLACKFOOT, ID 83221
Pharmacist (Pharmacotherapy)
565 JENSEN GROVE DR
BLACKFOOT, ID 83221
Pharmacist
565 JENSEN GROVE DR
BLACKFOOT, ID 83221

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 Cheyene Nickerson's NPI number?

The NPI number for Cheyene Nickerson is 1306369681. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Cheyene Nickerson located?

Cheyene Nickerson practices at 565 Jensen Grove Dr, Blackfoot, ID 83221. The listed phone number is (208) 785-0277.

What is Cheyene Nickerson'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 Cheyene Nickerson was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.