Active NPI
Kristine Marie Linnan, PHARMD
- Pharmacist
- Sturgeon Bay, WI
National Provider Identifier
1073808440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117542
- Practice address
- 1910 Alabama St
Aurora Pharmacy
Sturgeon Bay, WI 54235 - Phone
- (920) 746-7340
- Fax
- (920) 746-7277
- NPI assigned
- Jun 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14096040 | WI | |
| Pharmacist | 183500000X | 117542 | MN | Primary |
Addresses
Primary practice location
1910 Alabama St
Aurora Pharmacy
Sturgeon Bay, WI 54235
Mailing address
1910 Alabama St
Aurora Pharmacy
Sturgeon Bay, WI 54235
Phone (920) 746-7340
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 |
|---|---|---|---|
| 117542 | MN | MD | Pharmacist |
| 14096040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1073808440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 ALABAMA ST",
"address_2": "AURORA PHARMACY",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "54235",
"telephone_number": "920-746-7340",
"fax_number": "920-746-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 ALABAMA ST",
"address_2": "AURORA PHARMACY",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "54235",
"telephone_number": "920-746-7340",
"fax_number": "920-746-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINNAN",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14096040",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.