KRYSTAL SHOCKEY PHARMD, BCIDP
NPI 1790446649
Pharmacist - Oncology in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Pharmacist with taxonomy code 1835X0200X and a focus in Oncology.

Active since January 03, 2022

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

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Krystal Shockey Pharmd, Bcidp NPPES

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

KRYSTAL SHOCKEY PHARMD, BCIDP (NPI 1790446649) is an individual oncology provider in Boise, Idaho, licensed in Idaho (P9702) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1790446649

Entity TypeIndividualFemale

Primary Taxonomy1835X0200X

Provider Legal NameKRYSTAL SHOCKEYCredential: PHARMD, BCIDP

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222

Phone(208) 381-2222

Sole ProprietorNo

Enumeration DateJanuary 3, 2022

NPPES CertifiedJanuary 3, 2022

✔ NPI 1790446649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · OncologyPharmacy Service Providers

Taxonomy Code1835X0200X

License✔ Licensed in ID · P9702

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.

190 E BANNOCK ST, Boise, ID 83712

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