Active NPI
Kristina Erbach, PHARM.D.
- Pharmacist
- Conway, AR
National Provider Identifier
1003572157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14108
- Practice address
- 2302 College Ave
Conway, AR 72034-6297 - Phone
- (501) 513-5152
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14108 | AR | Primary |
Addresses
Primary practice location
2302 College Ave
Conway, AR 72034-6297
Mailing address
9 Langford Dr
Conway, AR 72032-9034
Phone (501) 358-8142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD14108 | Other | AR | ARKANSAS STATE BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14108 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1003572157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LANGFORD DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720329034",
"telephone_number": "501-358-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 COLLEGE AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720346297",
"telephone_number": "501-513-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERBACH",
"first_name": "KRISTINA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATE BOARD OF PHARMACY",
"identifier": "PD14108",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.