Kristen Leigh Hawkins, PHARMD

Key facts

NPI

1114690633

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

E-100289 (MS)

Practice address

1100 Highway 51
Madison, MS 39110-9088

Phone

(601) 853-2088

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co. Pharmacy · Philadelphia, MS · NPI 1689702029
  NPD (past)
• Walgreen Co Pharmacy · Longview, TX · NPI 1629956545
  NPD (past)

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

Practice roles

Specialties & licenses

Addresses

Other names

• Kristen Leigh Black Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2021.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1114690633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109088",
            "telephone_number": "601-853-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 51",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109088",
            "telephone_number": "601-853-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-100289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BLACK",
            "middle_name": "LEIGH",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Madison, MS · Pharmacist in Mississippi