Individual provider Active NPI

Gregory R. Kratz, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Audubon, PA
National Provider Identifier
1174793103
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RP044680L Issued in PA
Practice address
970 Rittenhouse Rd Ste 200
Audubon, PA 19403-2265
Phone
(800) 551-0450
Fax
(877) 431-1931
NPI assigned
Mar 5, 2008
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP044680L PA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 58129 TX
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 22601 MD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X T-12023 MS
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 34171 TN
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 014886 KY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 019060 LA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0012145 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PD11240 AR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 13298 NE
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X S017551 AZ
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 202209268 VA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPI006282 PA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP0010061 WV
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP044680L PA Primary

Addresses

Primary practice location

970 Rittenhouse Rd Ste 200
Audubon, PA 19403-2265

Mailing address

970 Rittenhouse Rd Ste 200
Audubon, PA 19403-2265
Phone (800) 551-0450

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
13298NEMDMental Health Counselor
22601MDMDClinical Social Worker
PD11240ARMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
S017551AZMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
014886KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
019060LAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
T-12023MSMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0012145ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP044680LPAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPI006282PAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
34171TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
58129TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
202209268VAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP0010061WVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1174793103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 RITTENHOUSE RD STE 200",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032265",
            "telephone_number": "800-551-0450",
            "fax_number": "877-431-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 RITTENHOUSE RD STE 200",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194032265",
            "telephone_number": "800-551-0450",
            "fax_number": "877-431-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATZ",
        "first_name": "GREGORY",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044680L",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "58129",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "22601",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MS",
            "license": "T-12023",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "34171",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "014886",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "LA",
            "license": "019060",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0012145",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "PD11240",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NE",
            "license": "13298",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AZ",
            "license": "S017551",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "202209268",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RPI006282",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "RP0010061",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP044680L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.