Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cheyene Joseph Nickerson

Individual provider Pharmacist · NPI 1306369681

Cheyene Joseph Nickerson is a Pharmacist in Blackfoot, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2017

Practice location Address checks out

565 Jensen Grove Dr
Blackfoot, ID 83221-1682
Phone: (208) 785-0277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P7793 (ID)

Record details

NPI number1306369681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2017
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address132 E Lake St, McCall, ID 83638-3811

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