Matthew Shawn Phillips, PHARMD

Pharmacist · Blackfoot, ID

Individual Active NPI

NPI number 1366038226

Practice location

1295 Parkway Dr
Blackfoot, ID 83221-1683
Phone
(208) 785-1311

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NPI record

NPI
1366038226
Entity type
Individual (Type 1)
Enumeration date
December 15, 2020
Last updated
December 15, 2020
Certified
December 15, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X P8508 ID

Mailing address

758 N 3500 E
Menan, ID 83434-5065
Phone
(208) 754-4720

About Dr. Phillips

Matthew Shawn Phillips, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1295 Parkway Dr, Blackfoot, ID 83221-1683. The NPI number 1366038226 was assigned on December 15, 2020 and the record was last updated on December 15, 2020.

Dr. Phillips lists a license in the registry: #P8508 (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 Matthew Shawn Phillips, PHARMD?

The NPI number is 1366038226.

What is the phone number of Dr. Phillips?

The phone number listed for the practice location is (208) 785-1311.

Where is Dr. Phillips located?

1295 Parkway Dr, Blackfoot, ID 83221-1683.

What is the taxonomy code for Dr. Phillips?

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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