Individual provider · Type 1 NPI

Malaika Kimmons

Pharmacist · Boise, ID

NPI number 1073454294 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Mailing address

16053 N Franklin Blvd Apt 102
Nampa, ID 83687-1093

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X34858 (NC)

Pharmacist: 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…

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About NPI 1073454294

Malaika Kimmons's National Provider Identifier is 1073454294, issued on Apr 2, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Aug 25, 2026.