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Deactivated NPI 1194274357 Deactivated / Inactive NPI Male Practitioner

Kenneth Mitley , RPH

Pharmacist • Post Falls, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Mitley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2016
NPI Deactivation Date March 01, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

Kenneth Mitley, RPH was a registered Pharmacist practicing in Post Falls, ID. Throughout an active medical career spanning 7 years, Kenneth Mitley provided care at the practice location at 1501 E SELTICE WAY until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

1501 E Seltice Way

Post Falls, ID 838547531

Telephone 2087730799
Fax 2087732314
Associated Practice Facility / Clinic
🏢 Yokes Foods Inc Facility NPI 1649644584

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Post Falls, ID

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

Practicing in Post Falls, 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 P3852

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active September 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2016

Registered at 1501 E SELTICE WAY, POST FALLS, ID 838547531 (Tel: 2087730799)

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Updated Business Mailing Address September 29, 2016

Registered at 1501 E SELTICE WAY, POST FALLS, ID 838547531 (Tel: 2087730799)

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Provider Name / Credentials Updated September 29, 2016

Recorded as KENNETH MITLEY, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2016

Pharmacist (License #P3852 in ID)

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Initial NPI Registration & Enumeration September 29, 2016

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: 1194274357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2016
Last Update: September 29, 2016
Deactivation Date: March 01, 2023

Mailing Address

1501 E Seltice Way

Post Falls, ID 838547531

Phone: 2087730799

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.