Individual provider Active NPI

Kristen Michelle Haas-Huynh, PHARMD

  • Pharmacist
  • Azle, TX
National Provider Identifier
1083251995
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56723 Issued in TX
Practice address
511 N Stewart St
Azle, TX 76020-3237
Phone
(817) 444-0306
Fax
(817) 444-0964
NPI assigned
Dec 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56723 TX Primary

Addresses

Primary practice location

511 N Stewart St
Azle, TX 76020-3237

Mailing address

511 N Stewart St
Azle, TX 76020-3237
Phone (817) 444-0306

Other practice location 1

5118 E I 20 Service Rd S
Willow Park, TX 76008-2630
Phone (817) 441-5982

Other names 1

  • Dr. Kristen Michelle Haas Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL kristenhaas@brookshires.com Direct BROOKSHIRE GROCERY COMPANY
Other URL kristenhaas@brookshires.com Direct BROOKSHIRE GROCERY COMPANY

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

LicenseStateTypeSpecialty
56723TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083251995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N STEWART ST",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203237",
            "telephone_number": "817-444-0306",
            "fax_number": "817-444-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N STEWART ST",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203237",
            "telephone_number": "817-444-0306",
            "fax_number": "817-444-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5118 E I 20 Service Rd S",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760082630",
            "country_code": "US",
            "telephone_number": "817-441-5982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS-HUYNH",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "56723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kristenhaas@brookshires.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "BROOKSHIRE GROCERY COMPANY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "511 N Stewart St",
            "city": "Azle",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760203237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kristenhaas@brookshires.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "BROOKSHIRE GROCERY COMPANY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5118 E I 20 Service Rd S",
            "city": "Willow Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760082630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HAAS",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.