Mr Kim E Tillery, RPH - Pharmacist in Twin Falls, ID

Mr Kim E Tillery, RPH is a Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Twin Falls, Idaho. Mr Kim E Tillery is licensed to practice in Idaho (license number P4585) and his current practice location is 2638 Longbow Dr, Twin Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 735-4076.

NPI number for Mr Kim E Tillery is 1508096777 and his current mailing address is 2638 Longbow Dr, Twin Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508096777.

Contact Information

Mr Kim E Tillery, RPH
2638 Longbow Dr,
Twin Falls, ID 83301-8946
(208) 735-4076
(208) 324-4599

Map and Direction


Healthcare Provider's Profile

Full NameMr Kim E Tillery
GenderMale
SpecialityPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Location2638 Longbow Dr, Twin Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508096777
  • Provider Enumeration Date: 07/21/2009
  • Last Update Date: 07/21/2009

Medical Identifiers

Medical identifiers for Mr Kim E Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508096777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist P4585 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kim E Tillery is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kim E Tillery, RPH
2638 Longbow Dr,
Twin Falls, ID 83301-8946

Ph: (208) 735-4076
Mr Kim E Tillery, RPH
2638 Longbow Dr,
Twin Falls, ID 83301-8946

Ph: (208) 735-4076

Reviews and Comments


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Tony Dean Rost, RPH, CDE
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