Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043552839 Individual Practitioner Male Practitioner

Dr. Kyle Shane Hogaboam , PharmD

Pharmacist • Othello, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Hogaboam, PharmD is a registered healthcare professional specializing in Pharmacist in Othello, WA. Practice services are available at 140 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 E Main St

Othello, WA 993441040

Telephone 5099942142

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Othello, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Othello, WA (7956 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 WA PH00040386

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

19 Associated Practitioners
Clarissa Jimenez , RDH

Dental Hygienist

NPI 1063849529

Registered Dental Hygienist

Kittrick Kane , PA-C

Physician Assistant - Medical

NPI 1063897957

Physician Assistant (Certified)

Jane Smith , MA

Speech-Language Pathologist

NPI 1295011468

Master of Arts

Chi Mac

Pharmacist

NPI 1356733307
Lusila Valdez , RDH

Dental Hygienist

NPI 1386071454

Registered Dental Hygienist

Dr. Jeffrey Chang , DMD

Student in an Organized Health Care Education/Training Program

NPI 1427417807

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2013

Registered at 140 E MAIN ST, OTHELLO, WA 993441040 (Tel: 5099942142)

📍
Updated Business Mailing Address March 20, 2013

Registered at 140 EAST MAIN, OTHELLO, WA 99344 (Tel: 5099942142)

👤
Provider Name / Credentials Updated March 20, 2013

Recorded as KYLE HOGABOAM, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2013

Pharmacist (License #PH00040386 in WA)

🟢
Initial NPI Registration & Enumeration March 20, 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: 1043552839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2013
Last Update: March 20, 2013
Sole Proprietor: No

Mailing Address

140 East Main

Othello, WA 99344

Phone: 5099942142

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.