MIKAYLA CORNWALL PHARMD
NPI 1609462217
Pharmacist in Boise, ID

Q: What is Mikayla Cornwall's NPI number?

The NPI number for Mikayla Cornwall is 1609462217. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Q: What is Mikayla Cornwall's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Mikayla Cornwall was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since December 17, 2020

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Dec 17, 2020 (2 updates tracked since 2020).

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About Mikayla Cornwall Pharmd NPPES

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

MIKAYLA CORNWALL PHARMD (NPI 1609462217) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P9898) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1609462217

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameMIKAYLA CORNWALLCredential: PHARMD

Location Address190 E BANNOCK STBoise, ID 83712

Mailing Address190 E Bannock StBoise, ID 83712 · (208) 381-2222

Phone(208) 381-2222

Sole ProprietorNo

Enumeration DateDecember 17, 2020

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedDecember 17, 2020

✔ NPI 1609462217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in ID · P9898✔ Licensed in WA · PH61063607

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.

190 E BANNOCK ST, Boise, ID 83712

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Other Providers at the Same Location NPPES 20

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

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)