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

Dr. Kyle Shane Hogaboam, PHARMD

Individual provider Pharmacist · NPI 1043552839

Dr. Kyle Shane Hogaboam, PHARMD is a Pharmacist in Othello, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

140 E Main St
Othello, WA 99344-1040
Phone: (509) 994-2142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH00040386 (WA)

Record details

NPI number1043552839
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESMarch 20, 2013
Mailing address140 East Main, Othello, WA 99344

Other providers in Othello