Cheyene Joseph Nickerson

Pharmacist · Blackfoot, ID

Individual Active NPI

NPI number 1306369681

Practice location

565 Jensen Grove Dr
Blackfoot, ID 83221-1682
Phone
(208) 785-0277

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NPI record

NPI
1306369681
Entity type
Individual (Type 1)
Enumeration date
July 19, 2017
Last updated
January 17, 2025
Certified
January 17, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X P7793 ID

Mailing address

132 E Lake St
McCall, ID 83638-3811
Phone
(208) 634-2433

About Cheyene Nickerson

Cheyene Joseph Nickerson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 565 Jensen Grove Dr, Blackfoot, ID 83221-1682. The NPI number 1306369681 was assigned on July 19, 2017 and the record was last updated on January 17, 2025.

Cheyene Nickerson lists a license in the registry: #P7793 (ID) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cheyene Joseph Nickerson?

The NPI number is 1306369681.

What is the phone number of Cheyene Nickerson?

The phone number listed for the practice location is (208) 785-0277.

Where is Cheyene Nickerson located?

565 Jensen Grove Dr, Blackfoot, ID 83221-1682.

What is the taxonomy code for Cheyene Nickerson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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