Active NPI
Kirsten Lightel, RPH
- Pharmacist
- Mansfield, OH
National Provider Identifier
1164028957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03440367
- Practice address
- 1075 Ashland Rd
Mansfield, OH 44905-2156 - Phone
- (330) 814-1924
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03440367 | OH | Primary |
Addresses
Primary practice location
1075 Ashland Rd
Mansfield, OH 44905-2156
Mailing address
208 Dunbar Rd
Tallmadge, OH 44278-2902
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03440367 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1164028957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 DUNBAR RD",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442782902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 ASHLAND RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449052156",
"telephone_number": "330-814-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTEL",
"first_name": "KIRSTEN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03440367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.