1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Pharmacist
  6. NPI Profile

KRISTOFER KELLY- JAMES LARK PHARMD
NPI 1538519749
Pharmacist in Boise, ID

Active since June 18, 2016
4709 W KENDALL ST, BOISE, ID 83706(208) 713-7948 Get Directions Write a Review

NPPES record last updated: June 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristofer Kelly- James Lark Pharmd NPPES

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

KRISTOFER KELLY- JAMES LARK PHARMD (NPI 1538519749) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P7518) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1538519749
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKRISTOFER KELLY- JAMES LARKCredential: PHARMD
Location Address4709 W KENDALL STBoise, ID 83706-2224
Mailing Address4709 W Kendall StBoise, ID 83706-2224 · (208) 713-7948
Phone(208) 713-7948
Sole ProprietorNo
Enumeration DateJune 18, 2016
✔ NPI 1538519749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P7518
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.
4709 W KENDALL ST, Boise, ID 83706
Open in Google Maps ↗

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 Kristofer Lark's NPI number?

The NPI number for Kristofer Lark is 1538519749. It was assigned to this individual provider in the NPPES registry on June 18, 2016.

Where is Kristofer Lark located?

Kristofer Lark practices at 4709 W Kendall St, Boise, ID 83706. The listed phone number is (208) 713-7948.

What is Kristofer Lark'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 Kristofer Lark was last updated on June 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.