MR. KIM E. TILLERY RPH
NPI 1508096777
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Twin Falls, ID

Q: What is Kim Tillery's NPI number?

The NPI number for Kim Tillery is 1508096777. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Q: What is Kim Tillery's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Kim Tillery was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 21, 2009

2638 LONGBOW DR, TWIN FALLS, ID 83301(208) 735-4076(208) 324-4599 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Kim E. Tillery Rph NPPES

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

MR. KIM E. TILLERY RPH (NPI 1508096777) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Twin Falls, Idaho, licensed in Idaho (P4585) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1508096777

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameMR. KIM E. TILLERYCredential: RPH

Location Address2638 LONGBOW DRTwin Falls, ID 83301-8946

Mailing Address2638 Longbow DrTwin Falls, ID 83301-8946 · (208) 735-4076 · Fax (208) 324-4599

Phone(208) 735-4076

Fax(208) 324-4599

Sole ProprietorYes

Enumeration DateJuly 21, 2009

✔ NPI 1508096777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in ID · P4585

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

2638 LONGBOW DR, Twin Falls, ID 83301

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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 Kim Tillery's NPI number?

The NPI number for Kim Tillery is 1508096777. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Kim Tillery located?

Kim Tillery practices at 2638 Longbow Dr, Twin Falls, ID 83301. The listed phone number is (208) 735-4076.

What is Kim Tillery's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Kim Tillery was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.