Individual provider Active NPI

Kristin Kasperczyk, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fremont, OH
National Provider Identifier
1164957312
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
03331443 Issued in OH
Practice address
1316 Oak Harbor Rd
Fremont, OH 43420-1023
Phone
(419) 332-9187
NPI assigned
Apr 25, 2017
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03331443 OH
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03331443 OH Primary

Addresses

Primary practice location

1316 Oak Harbor Rd
Fremont, OH 43420-1023

Mailing address

4504 E Laurel Ridge Dr
Port Clinton, OH 43452-4005
Phone (330) 844-2587

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
03331443OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1164957312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 E LAUREL RIDGE DR",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434524005",
            "telephone_number": "330-844-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 OAK HARBOR RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201023",
            "telephone_number": "419-332-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPERCZYK",
        "first_name": "KRISTIN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03331443",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03331443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.