Active NPI
Kristin White, RPH
- Pharmacist
- Fayetteville, NY
National Provider Identifier
1023332046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044711
- Practice address
- 6789 E Genesee St
Fayetteville, NY 13066-1640 - Phone
- (315) 446-4660
- Fax
- (315) 446-7750
- NPI assigned
- Mar 19, 2010
- 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 | 044711 | NY | Primary |
Addresses
Primary practice location
6789 E Genesee St
Fayetteville, NY 13066-1640
Mailing address
6789 E Genesee St
Fayetteville, NY 13066-1640
Phone (315) 446-4660
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044711 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1023332046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6789 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661640",
"telephone_number": "315-446-4660",
"fax_number": "315-446-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6789 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661640",
"telephone_number": "315-446-4660",
"fax_number": "315-446-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KRISTIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "044711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NY
- Wellnow Urgent Care, PC (WellNow Urgent Care)
- Elaine Mary Whalen, RN
- Nuala Wheat Andrews, LMFT
- White Owl Holistic
- John Wayne White Jr., REGISTERED NURSE
- Beth Thomas Wiedeman, MD.
- Natasha Marie Wilcox, MSN, APRN, FNP-BC
- William G. Patrick, M.D., P.C. (Fayetteville Dermatology)
- William Tucker MD PLLC
- Howard J Williams, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.