Active NPI
Kristen Koszela
- Pharmacist
- Murrells Inlet, SC
National Provider Identifier
1174921779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35882
- Practice address
- 101 Founders Bay Rd
Murrells Inlet, SC 29576-8089 - Phone
- (843) 651-8863
- NPI assigned
- Dec 12, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 35882 | SC | Primary |
Addresses
Primary practice location
101 Founders Bay Rd
Murrells Inlet, SC 29576-8089
Mailing address
101 Founders Bay Rd
Murrells Inlet, SC 29576-8089
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35882 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1174921779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 FOUNDERS BAY RD",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295768089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FOUNDERS BAY RD",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295768089",
"telephone_number": "843-651-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSZELA",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.