Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962981092 Individual Practitioner Male Practitioner

Dr. Nickolas David Wynn , PharmD

Pharmacist • Twin Falls, ID

Professional Overview & Biography Verified Profile Summary

Dr. Nickolas Wynn, PharmD is a registered healthcare professional specializing in Pharmacist in Twin Falls, ID. Practice services are available at 1649 POLE LINE RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1649 Pole Line Rd E

Twin Falls, ID 833018397

Telephone 2087343791
Fax 2087367476
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Twin Falls, ID

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

Practicing in Twin 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 P8038

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

1 Associated Practitioners
NPI 1386907467

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 August 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2018

Registered at 1649 POLE LINE RD E, TWIN FALLS, ID 833018397 (Tel: 2087343791)

📍
Updated Business Mailing Address August 09, 2018

Registered at 1649 POLE LINE RD E, TWIN FALLS, ID 833018397 (Tel: 2087343791)

👤
Provider Name / Credentials Updated August 09, 2018

Recorded as NICKOLAS WYNN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Pharmacist (License #P8038 in ID)

🟢
Initial NPI Registration & Enumeration August 09, 2018

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: 1962981092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2018
Last Update: August 09, 2018
Sole Proprietor: No

Mailing Address

1649 Pole Line Rd E

Twin Falls, ID 833018397

Phone: 2087343791

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.