Active NPI
Krystle Bouchard, PHARM.D.
- Ambulatory Care Pharmacist
- Akron, OH
National Provider Identifier
1184072332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 03135745
- Practice address
- 1400 S Arlington St Unit 38
Akron, OH 44306-3771 - Phone
- (330) 724-5471
- NPI assigned
- May 28, 2016
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 03135745 | OH | Primary |
Addresses
Primary practice location
1400 S Arlington St Unit 38
Akron, OH 44306-3771
Mailing address
1069 Mindy LN Unit 8C
Wooster, OH 44691-1683
Phone (603) 728-8749
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 |
|---|---|---|---|
| 03135745 | OH | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469232000000",
"number": "1184072332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1069 MINDY LN UNIT 8C",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911683",
"telephone_number": "603-728-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S ARLINGTON ST UNIT 38",
"city": "AKRON",
"state": "OH",
"postal_code": "443063771",
"telephone_number": "330-724-5471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHARD",
"first_name": "KRYSTLE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-28",
"last_updated": "2016-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "OH",
"license": "03135745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.