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

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.

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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

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