Individual provider Active NPI

Kristen Sarah Bayerl, PHARMD

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1114290574
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
I055931-1 Issued in NY
Practice address
565 Monroe Ave
Rochester, NY 14607-3117
Phone
(585) 244-1711
Fax
(585) 244-1818
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X I055931-1 NY Primary

Addresses

Primary practice location

565 Monroe Ave
Rochester, NY 14607-3117

Mailing address

40 Riccardi Dr
Rochester, NY 14626-1075
Phone (716) 432-9446

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
I055931-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1114290574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RICCARDI DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261075",
            "telephone_number": "716-432-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073117",
            "telephone_number": "585-244-1711",
            "fax_number": "585-244-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYERL",
        "first_name": "KRISTEN",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I055931-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.