Kristen Richter, PHARM. D.
Individual provider Active NPI Pharmacist · Walker, MN
NPI 1053717652 · NPPES record last updated Nov 8, 2014
Key facts
- NPI
- 1053717652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 121320 (MN)
- Practice address
- 603 Minnesota Ave
Walker, MN 56484-2279 - Phone
- (218) 547-1016
- NPI assigned
- Nov 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 121320 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 121320 | MN | Yes |
Addresses
Primary practice location
603 Minnesota Ave
Walker, MN 56484-2279
Mailing address
PO Box 1267
Walker, MN 56484-1267
Phone (218) 547-1016
Other providers in Walker, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2014. 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.