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

Dr. Kenneth Dirk, PHARMD, MBA

Individual provider Pharmacist · NPI 1447478151

Dr. Kenneth Dirk, PHARMD, MBA is a Pharmacist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

1219 Broadway Ave
Boise, ID 83706-3701
Phone: (208) 433-9905
Fax: (208) 433-9907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P5175 (ID)

Record details

NPI number1447478151
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD , MBA
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4636 E Narcissus Ct, Boise, ID 83716-7002

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