Individual provider Active NPI

Kristina Jimenez Drobish, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Westbrook, ME
National Provider Identifier
1225602741
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PR6064 Issued in ME
Practice address
870 Main St
Westbrook, ME 04092-2820
Phone
(207) 854-8443
Fax
(207) 854-9235
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PR6064 ME Primary

Addresses

Primary practice location

870 Main St
Westbrook, ME 04092-2820

Mailing address

870 Main St
Westbrook, ME 04092-2820
Phone (207) 854-8443

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
PR6064MEMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS State Capital LLC PastSince May 25, 2021 Accepting new patients
CVS State Capital LLC PastSince May 25, 2021 Accepting new patients

Organizations & group practices 2

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1225602741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922820",
            "telephone_number": "207-854-8443",
            "fax_number": "207-854-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922820",
            "telephone_number": "207-854-8443",
            "fax_number": "207-854-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROBISH",
        "first_name": "KRISTINA",
        "middle_name": "JIMENEZ",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ME",
            "license": "PR6064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.