Sean Kristopher Kreymborg, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS55080 Issued in FL

Practice address

2703 N Ponce de Leon Blvd
Saint Augustine, FL 32084-2603

Phone

(904) 824-2838

NPI assigned

Nov 22, 2020

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1033713987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LLOVERA PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N PONCE DE LEON BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842603",
            "telephone_number": "904-824-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREYMBORG",
        "first_name": "SEAN",
        "middle_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS55080",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Krajewski, MD
• Ann M. Krall, RPH
• Samantha E Kraly, MD
• Kathleen Corcoran Oktavec Krepley, M.D., M.H.S
• Danielle A Kresge, LMT
• Lothar Krueger, MD
• Kasaundra Leigh Kruer, PSYD
• Laura Kruger
• Gina Kubesh, OD
• Ashfaq Latif Kudia, MD

• Pharmacist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.