NPI age
16 years
Enumerated 2009-07-21
● Active
Type 1 · Individual
MR. Kim E. Tillery, RPH
Tillery is 1 of 7 pharmacist providers in Twin Falls and 1 of 80 in Idaho.
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 80 active pharmacist providers in Idaho.
NPI age
16 years
↑ 6 yr above median (9 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Practice location
2638 Longbow Dr
Twin Falls, ID 833018946
Mailing address
2638 Longbow Dr
Twin Falls, ID 833018946
Specialties
-
Pharmacist PrimaryPharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new pharmacist provider has been added in Twin Falls in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.