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DR. KENNETH DIRK PHARMD,MBA
NPI 1447478151
Pharmacist in Boise, ID

Active since April 20, 2007
1219 BROADWAY AVE, BOISE, ID 83706(208) 433-9905(208) 433-9907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Dirk Pharmd,mba NPPES

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

DR. KENNETH DIRK PHARMD,MBA (NPI 1447478151) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P5175) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1447478151
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KENNETH DIRKCredential: PHARMD,MBA
Location Address1219 BROADWAY AVEBoise, ID 83706-3701
Mailing Address4636 E Narcissus CtBoise, ID 83716-7002 · (208) 433-8721
Phone(208) 433-9905
Fax(208) 433-9907
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447478151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P5175
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.
1219 BROADWAY AVE, Boise, ID 83706
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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 Kenneth Dirk's NPI number?

The NPI number for Kenneth Dirk is 1447478151. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Kenneth Dirk located?

Kenneth Dirk practices at 1219 Broadway Ave, Boise, ID 83706. The listed phone number is (208) 433-9905.

What is Kenneth Dirk'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 Kenneth Dirk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.