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

Mr. Kim E. Tillery, RPH

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1508096777

Mr. Kim E. Tillery, RPH is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Twin Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2009
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

2638 Longbow Dr
Twin Falls, ID 83301-8946
Phone: (208) 735-4076
Fax: (208) 324-4599
Show map & directions

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

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence P4585 (ID)

Record details

NPI number1508096777
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedJuly 21, 2009
Last updated in NPPESJuly 21, 2009
Mailing address2638 Longbow Dr, Twin Falls, ID 83301-8946

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