JORDAN KELL PHARMACY INTERN
NPI 1700447901
Pharmacist in Boise, ID

Active since June 27, 2019
4700 N EAGLE RD, BOISE, ID 83713(208) 939-5149(208) 939-5282 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jordan Kell Pharmacy Intern NPPES

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

JORDAN KELL PHARMACY INTERN (NPI 1700447901) is an individual pharmacist in Boise, Idaho, licensed in Idaho (I50177) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1700447901
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJORDAN KELLCredential: PHARMACY INTERN
Location Address4700 N EAGLE RDBoise, ID 83713-0744
Mailing Address7411 E Saxton LnNampa, ID 83687-9483 · (503) 789-8202
Fax(208) 939-5282
Sole ProprietorNo
Enumeration DateJune 27, 2019
NPI 1700447901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · I50177
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.

4700 N EAGLE RD, Boise, ID 83713

Other Providers at the Same Location NPPES 5

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

Pharmacist
4700 N EAGLE RD
BOISE, ID 83713
Pharmacist
4700 N EAGLE RD
BOISE, ID 83713
Pharmacy (Community/Retail Pharmacy)
4700 N EAGLE RD
BOISE, ID 83713
Pharmacist
4700 N EAGLE RD
BOISE, ID 83713
Pharmacy (Community/Retail Pharmacy)
4700 N EAGLE RD
BOISE, ID 83713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700447901, enumerated as an "individual" on June 27, 2019.

The provider is located at 4700 N EAGLE RD BOISE, ID 83713 and the phone number is (208) 939-5149.

Pharmacist with taxonomy code 183500000X.