Kristen Marie Boor, PHARMD
Individual provider Active NPI Pharmacist · Blue Bell, PA
NPI 1104347012 · NPPES record last updated Jun 30, 2017
Key facts
- NPI
- 1104347012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP451462 (PA)
- Practice address
- 929 Dekalb Pike
Blue Bell, PA 19422-1809 - Phone
- (610) 292-2142
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451462 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP451462 | PA | Yes |
Addresses
Primary practice location
929 Dekalb Pike
Blue Bell, PA 19422-1809
Mailing address
929 Dekalb Pike
Blue Bell, PA 19422-1809
NPI Registry JSON
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1104347012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 DEKALB PIKE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194221809",
"telephone_number": "610-292-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOR",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.