Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255674164 Individual Practitioner Male Practitioner

Dr. Kenneth Richard Stark , PharmD

Pharmacist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Stark, PharmD is a registered healthcare professional specializing in Pharmacist in Boise, ID. Practice services are available at 10555 W OVERLAND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10555 W Overland Rd

Boise, ID 837091436

Telephone 2083212669
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1508871625

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
496 Specialists

Practicing in Boise, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P6643

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License ID CS18944

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License UT 6035703-1701

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License UT 6035703-8911

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License AZ S019112

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1063056018
NPI 1063833697

Registered Pharmacist

NPI 1104202951

Registered Pharmacist

NPI 1164706024

Doctor of Pharmacy (Pharm.D.)

NPI 1174077713

Doctor of Pharmacy (Pharm.D.)

NPI 1538445614

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 28, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2013

Registered at 10555 W OVERLAND RD, BOISE, ID 837091436 (Tel: 2083212669)

📍
Updated Business Mailing Address March 28, 2013

Registered at 10555 W OVERLAND RD, BOISE, ID 837091436 (Tel: 2083212669)

👤
Provider Name / Credentials Updated March 28, 2013

Recorded as KENNETH STARK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2013

Pharmacist (License #P6643 in ID)

🟢
Initial NPI Registration & Enumeration March 28, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255674164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2013
Last Update: March 28, 2013
Sole Proprietor: No

Mailing Address

10555 W Overland Rd

Boise, ID 837091436

Phone: 2083212669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.