Kristian Odibo

Primary specialty

PharmacistTaxonomy code 183500000X

License

0015072 Issued in CT

Practice address

20 Front St Apt 420
Hartford, CT 06103-2850

Phone

(202) 894-1193

NPI assigned

Mar 17, 2021

Last updated

Mar 17, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1144805458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FRONT ST APT 420",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FRONT ST APT 420",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032850",
            "telephone_number": "202-894-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIBO",
        "first_name": "KRISTIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0015072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Oblon, PA-C
• Benjamin Thomas Obringer, DO
• Ryan Joseph Ochoa, PSY.D.
• Octave Behavioral PA
• Terrence Frederic Oder, M.D.
• Ogheneruona Osehi Odili, M.D.
• Rachel Marie Oegema, MSW
• Daniel Offsay
• Julian Offsay, MD
• Kelechi O Ogbonna, M.D

• Pharmacist in Hartford, CT
• Providers in Hartford, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.