Active NPI
Kristen Anne Herzik, PHARM.D
- Pharmacist
- La Jolla, CA
National Provider Identifier
1073395729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69685
- Practice address
- 9434 Medical Center Dr
La Jolla, CA 92037-1337 - Phone
- (858) 249-4030
- NPI assigned
- Oct 17, 2023
- 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 | 69685 | CA | Primary |
Addresses
Primary practice location
9434 Medical Center Dr
La Jolla, CA 92037-1337
Mailing address
7413 Cortile Bellaza
San Diego, CA 92129-2280
Phone (832) 216-7120
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 |
|---|---|---|---|
| 69685 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1073395729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7413 CORTILE BELLAZA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292280",
"telephone_number": "832-216-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9434 MEDICAL CENTER DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371337",
"telephone_number": "858-249-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZIK",
"first_name": "KRISTEN",
"middle_name": "ANNE",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.