BILLY GERALD JENKINS NPI 1053894428

NPI Information

  • NPI: 1053894428
  • Provider Name: BILLY GERALD JENKINS
  • Classification: Pharmacy Technician - 183700000X
  • Entity Type: Individual
  • Address: 2102 NEZ PERCE DR
    LEWISTON, ID
    ZIP 83501
  • Phone: (208) 743-4434

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NPI Details

Billy Gerald Jenkins is a pharmacy technician in Lewiston, ID. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. Billy Gerald Jenkins NPI is 1053894428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2102 NEZ PERCE DR
LEWISTON, ID
ZIP 83501-116
Phone: (208) 743-4434
Fax: (208) 743-9422

The enumeration date for this NPI number is 9/12/2018 and was last updated on 9/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183700000XPharmacy Technician1225043342IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11538562137MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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