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

Mrs. Kimberly Dawn Puckett, PHARMD

Individual provider Pharmacist · NPI 1700210085

Mrs. Kimberly Dawn Puckett, PHARMD is a Pharmacist in Ponderay, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
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

212 Bonner Mall Way
Ponderay, ID 83852-9748
Phone: (208) 255-8066
Fax: (208) 263-6623
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P5173 (ID)

Record details

NPI number1700210085
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 22, 2013
Last updated in NPPESAugust 22, 2013

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