Active NPI
Kristen Brock, PHARM.D.
- Pharmacotherapy Pharmacist
- Plainfield, IN
National Provider Identifier
1174934558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 26025126A
- Practice address
- 400 N Dan Jones Rd
Plainfield, IN 46168-1802 - Phone
- (317) 204-1310
- NPI assigned
- May 19, 2014
- Last updated
- Aug 5, 2019
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 26025126A | IN | Primary |
Addresses
Primary practice location
400 N Dan Jones Rd
Plainfield, IN 46168-1802
Mailing address
443 Watercress Way
Brownsburg, IN 46112-2164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26025126A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1174934558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 WATERCRESS WAY",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461122164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N DAN JONES RD",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461681802",
"telephone_number": "317-204-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "KRISTEN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26025126A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.