Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104112903 Individual Practitioner Male Practitioner

Judd Alan Knudsen , RPH

Pharmacist • Fruitland, ID

Professional Overview & Biography Verified Profile Summary

Judd Knudsen, RPH is a registered healthcare professional specializing in Pharmacist in Fruitland, ID. Practice services are available at 1620 N WHITLEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1620 N Whitley Dr

Fruitland, ID 836192129

Telephone 2084527075
Fax 2084527446
Associated Practice Facility / Clinic
🏢 Prescription Pad Llc Facility NPI 1891102653

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fruitland, ID

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

Practicing in Fruitland, 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: 2022-04-08
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P6023

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 NV 15851

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.

Secondary Practice Locations

1620 N Whitley Dr

Fruitland, ID 836192129

Phone: 2084527075

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1174128573

Registered Pharmacist

NPI 1205409158

Doctor of Pharmacy (Pharm.D.)

NPI 1447448154

Doctor of Pharmacy (Pharm.D.), CDM

NPI 1548004930

Doctor of Pharmacy (Pharm.D.)

NPI 1821218553

Doctor of Pharmacy (Pharm.D.), CGP

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 08, 2022

Registered at 1620 N WHITLEY DR, FRUITLAND, ID 836192129 (Tel: 2084527075)

📍
Updated Business Mailing Address April 08, 2022

Registered at 1620 N WHITLEY DR, FRUITLAND, ID 836192129 (Tel: 2084527075)

📍
Updated Practice Location October 01, 2018

Registered at 1118 NW 16TH ST # 150B, FRUITLAND, ID 836192271 (Tel: 2084339905)

📍
Updated Business Mailing Address October 01, 2018

Registered at 1118 NW 16TH ST # 150B, FRUITLAND, ID 836192271 (Tel: 2084339905)

NPI Profile Active June 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2011

Registered at 1219 S BROADWAY AVE, BOISE, ID 837063701 (Tel: 2084339905)

📍
Updated Business Mailing Address June 21, 2011

Registered at 1219 S BROADWAY AVE, BOISE, ID 837063701 (Tel: 2084339905)

👤
Provider Name / Credentials Updated June 21, 2011

Recorded as JUDD KNUDSEN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2011

Pharmacist (License #P6023 in ID)

🟢
Initial NPI Registration & Enumeration June 21, 2011

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: 1104112903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2011
Last Update: April 08, 2022
Sole Proprietor: Yes

Mailing Address

1620 N Whitley Dr

Fruitland, ID 836192129

Phone: 2084527075

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.