Amanda Kriesen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03132367 Issued in OH

Practice address

630 E River St
Elyria, OH 44035-5902

Phone

(440) 329-4926

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: akriesen87042@ehrdirect.uhhospitals.org

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1083341184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 JOSEPH ST",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111911",
            "telephone_number": "440-522-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E RIVER ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355902",
            "telephone_number": "440-329-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIESEN",
        "first_name": "AMANDA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey William Kosman, DDS
• Athena Mae Koutsopoulos, LPN
• Amy M Kovalsky, RN, CNP
• Julie Kraker
• Larry J Krause, O.D.
• M. Elaine Krosse, DPM
• Michele Krueger
• Shirley Krueger, PMHNP-BC
• Stephanie Marie Krueger, PHARMD
• Ronald S Kruzyk

• Pharmacist in Elyria, OH
• Providers in Elyria, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.