Dr. Kyle Shane Hogaboam, PHARM D
Dr. Kyle Shane Hogaboam is a Pharmacist provider (Pharmacist) practicing in Othello, WA, registered in the NPPES registry with NPI 1043552839 since 2013. The credential PHARMD stands for Doctor of Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043552839 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Kyle Shane Hogaboam |
| Credential | PHARM D |
| Sex | Male |
| Practice address | 140 E MAIN ST, Othello, WA, 99344 |
| Phone | 5099942142 |
| Enumeration date | 2013-03-20 |
| Last updated in NPPES | 2013-03-20 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | PH00040386 | WA |
PHARMD — Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential
Copy-ready billing details
Provider: Kyle Hogaboam, PHARM D NPI: 1043552839 Taxonomy: 183500000X (Pharmacist) Address: 140 E MAIN ST, Othello, WA, 99344
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871679878 | David Hofheins | Individual | Family Medicine Physician | Othello, WA |
| 1497834956 | Dien Nguyen | Individual | General Practice Dentistry | Othello, WA |
| 1831269778 | Jun Le | Individual | Pharmacist | Othello, WA |
| 1740351741 | Angie Mendez | Individual | Dental Hygienist | Othello, WA |
| 1679635908 | Hong Hanh Pham | Individual | Dental Hygienist | Othello, WA |
| 1770732745 | Darrell Wilson | Individual | Pharmacist | Othello, WA |
| 1487884086 | Noah Frerichs | Individual | Dentist | Othello, WA |
| 1568741189 | Isaac King | Individual | Dentist | Othello, WA |
Verify this record
Cross-check NPI 1043552839 against the authoritative CMS record: view Dr. Kyle Shane Hogaboam on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-03-20.