Kyle Krenzke, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

119804 Issued in MN

Practice address

1112 Civic Center Dr NW
Rochester, MN 55901-1843

Phone

(507) 206-5173

Fax

(507) 206-5179

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #13463

  • Pharmacy
  • Rochester, MN
  • NPI 1083922280
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1013510270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CIVIC CENTER DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011843",
            "telephone_number": "507-206-5173",
            "fax_number": "507-206-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 CIVIC CENTER DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011843",
            "telephone_number": "507-206-5173",
            "fax_number": "507-206-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENZKE",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119804",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl N Krecke, M.D.
• Benjamin Richard Kreitz, MD
• Amy L Krekelberg, OT
• Tammy M Kremers, RN, CNP
• Caitlin Krenz, LPCC
• Noelle Anne Kreofsky, PA-C
• Justin Kreps, SRNA
• Steven Kreul, DC
• Wade W Kreun, CRNA
• Justin David Kreuter, M.D.

• Pharmacist in Rochester, MN
• Providers in Rochester, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.