Active NPI
Kristen Shay O'Brian, PHARM D
- Pharmacist
- Aberdeen, MS
National Provider Identifier
1023535812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-09325
- Practice address
- 107 N Meridian St
Aberdeen, MS 39730-2635 - Phone
- (662) 369-0060
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | E-09325 | MS | Primary |
Addresses
Primary practice location
107 N Meridian St
Aberdeen, MS 39730-2635
Mailing address
802 Earl Frye Blvd
Amory, MS 38821-5505
Phone (662) 256-5920
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 |
|---|---|---|---|
| E-09325 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & K Pharmacy Services LLC | Current | Accepting new patients | |
| J & K Pharmacy Services LLC | Current | Accepting new patients | |
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Locations
802 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-5920
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Amory, MS
- NPI 1407324569
-
- Long Term Care Pharmacy
- Amory, MS
- NPI 1417731753
-
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1023535812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 EARL FRYE BLVD",
"city": "AMORY",
"state": "MS",
"postal_code": "388215505",
"telephone_number": "662-256-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N MERIDIAN ST",
"city": "ABERDEEN",
"state": "MS",
"postal_code": "397302635",
"telephone_number": "662-369-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIAN",
"first_name": "KRISTEN",
"middle_name": "SHAY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2023-05-30",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-09325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, MS
- Marsha Houk Health Clinic, LLC
- Bruce Arthur Mazat, MD
- James Pearson McVaugh, D.M.D.
- Medicomp, Inc
- Mississippi State Department of Health
- Joel Nathaneal Patterson, PHARMD
- Natalie L Pierce, OTR/L
- Pioneer Family Pharmacy
- Pioneer Health Services of Monroe County, Inc
- Pioneer Health Services of Monroe County, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.