Active NPI
Kristina Jimenez Drobish, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Westbrook, ME
National Provider Identifier
1225602741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PR6064
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| PR6064 | ME | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS State Capital LLC | Past | Accepting new patients | |
| CVS State Capital LLC | Past | 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.