IndividualActive
Kenneth Carlin Roose
NPI 1790566404 · Pharmacist · Ammon, ID
Kenneth Carlin Roose is a Pharmacist provider in Ammon, ID (NPI 1790566404).
Provider details
- NPI number
- 1790566404
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- P10920 (ID)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3250 E 17th St
Ammon, ID 83406-6758
Phone: (208) 552-7677
Street-level locationGet directions
Mailing address
5504 Calen Ln
Chubbuck, ID 83202-2296
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2023-10-09
- Certified
- 2023-10-09
Frequently asked questions
- What is Kenneth Carlin Roose's NPI number?
- Kenneth Carlin Roose's National Provider Identifier (NPI) is 1790566404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Carlin Roose's specialty?
- Kenneth Carlin Roose is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kenneth Carlin Roose located?
- Kenneth Carlin Roose's practice location on file with NPPES is 3250 E 17th St, Ammon, ID 83406-6758.
- What is Kenneth Carlin Roose's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Carlin Roose is (208) 552-7677.
- Is Kenneth Carlin Roose's NPI active?
- Yes — Kenneth Carlin Roose's NPI (1790566404) is active in the NPPES registry as of the last update on 2023-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.