Individual provider Active NPI

Kristin Smith

  • Pharmacist
  • Lexington, KY
National Provider Identifier
1073396628
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024121 Issued in KY
Practice address
3855 Fountainblue LN
Lexington, KY 40513-8310
Phone
(859) 469-7338
NPI assigned
Aug 17, 2023
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS66156 FL
Pharmacist 183500000X 024121 KY Primary

Addresses

Primary practice location

3855 Fountainblue LN
Lexington, KY 40513-8310

Mailing address

3855 Fountainblue LN
Lexington, KY 40513-8310
Phone (859) 469-7338

Other names 1

  • Kristin Holley Former name

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

State licenses

LicenseStateTypeSpecialty
PS66156FLMDPharmacist
024121KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Publix Super Markets, Inc. CurrentSince Nov 7, 2025 Accepting new patients
Publix Super Markets Inc PastSince Aug 1, 2023 Accepting new patients
Publix Super Markets Inc PastSince Aug 1, 2023 Accepting new patients

Locations

3855 Fountainblue Ln
Lexington, KY 40513
Phone (859) 469-7338

2500 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 855-7663

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1073396628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 FOUNTAINBLUE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405138310",
            "telephone_number": "859-469-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 FOUNTAINBLUE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405138310",
            "telephone_number": "859-469-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS66156",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "024121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HOLLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.