NICKOLAS DAVID WYNN PHARMD
NPI 1962981092
Pharmacist in Twin Falls, ID

Active since August 09, 2018
1649 POLE LINE RD E, TWIN FALLS, ID 83301(208) 734-3791(208) 736-7476 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nickolas David Wynn Pharmd NPPES

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

NICKOLAS DAVID WYNN PHARMD (NPI 1962981092) is an individual pharmacist in Twin Falls, Idaho, licensed in Idaho (P8038) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1962981092
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameNICKOLAS DAVID WYNNCredential: PHARMD
Location Address1649 POLE LINE RD ETwin Falls, ID 83301-8397
Mailing Address1649 Pole Line Rd ETwin Falls, ID 83301-8397 · (208) 734-3791 · Fax (208) 736-7476
Fax(208) 736-7476
Sole ProprietorNo
Enumeration DateAugust 9, 2018
NPI 1962981092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P8038
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.

1649 POLE LINE RD E, Twin Falls, ID 83301

Other Providers at the Same Location NPPES

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

Pharmacist
1649 POLE LINE RD E
TWIN FALLS, ID 83301

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 Nickolas Wynn's NPI number?

The NPI number for Nickolas Wynn is 1962981092. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Nickolas Wynn located?

Nickolas Wynn practices at 1649 Pole Line Rd E, Twin Falls, ID 83301. The listed phone number is (208) 734-3791.

What is Nickolas Wynn'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 Nickolas Wynn was last updated on August 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.