Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609462217 Individual Practitioner Female Practitioner

Dr. Mikayla Cornwall , PharmD

Pharmacist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Mikayla Cornwall, PharmD is a registered healthcare professional specializing in Pharmacist in Boise, ID. Practice services are available at 190 E BANNOCK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

190 E Bannock St

Boise, ID 83712

Telephone 2083812222
Associated Practice Facility / Clinic

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

CMS Verified: 2020-12-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P9898

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 WA PH61063607

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

40 Associated Practitioners
Nora Suarez , NP

Nurse Practitioner - Neonatal, Critical Care

NPI 1003068677

Nurse Practitioner

Allison May

Nurse Anesthetist, Certified Registered

NPI 1003670845
Nathan Call , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013557032

Certified Registered Nurse Anesthetist

Dr. Ashley Jackson , PharmD

Pharmacist - Emergency Medicine

NPI 1013690908

Doctor of Pharmacy (Pharm.D.)

Madeline Tripp

Nurse Anesthetist, Certified Registered

NPI 1013898345
Laresa Janousek , NP

Nurse Practitioner - Neonatal

NPI 1013949155

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 21, 2024

Registered at 190 E BANNOCK ST, BOISE, ID 83712 (Tel: 2083812222)

📍
Updated Business Mailing Address August 21, 2024

Registered at 190 E BANNOCK ST, BOISE, ID 83712 (Tel: 2083812222)

NPI Profile Active December 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2020

Registered at 401 W POPLAR ST, WALLA WALLA, WA 993622846 (Tel: 5098972697)

📍
Updated Business Mailing Address December 17, 2020

Registered at 329 S 3RD AVE APT 8, WALLA WALLA, WA 993623056 (Tel: 5093703990)

👤
Provider Name / Credentials Updated December 17, 2020

Recorded as MIKAYLA CORNWALL, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Pharmacist (License #PH61063607 in WA)

🟢
Initial NPI Registration & Enumeration December 17, 2020

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: 1609462217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2020
Last Update: August 21, 2024
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 83712

Phone: 2083812222

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.