Howard Samuel Kreisler, PHARMD
Individual provider Active NPI Pharmacist · Haxtun, CO
NPI 1043873045 · NPPES record last updated Apr 16, 2019
Key facts
- NPI
- 1043873045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHA.0022275 (CO)
- Practice address
- 235 W Fletcher St
Haxtun, CO 80731-2737 - Phone
- (970) 774-6979
- NPI assigned
- Apr 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0022275 | CO | MD | Pharmacist |
Interoperability endpoints
- https://api.platform.athenahealth.com/14566/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA.0022275 | CO | Yes |
Addresses
Primary practice location
235 W Fletcher St
Haxtun, CO 80731-2737
Mailing address
3655 S Verbena St Apt D202
Denver, CO 80237-1599
Phone (954) 496-1493
Other providers in Haxtun, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.