Individual provider Active NPI

Kristen Rose Egert

  • Pharmacist
  • Syosset, NY
National Provider Identifier
1235523218
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
059499 Issued in NY
Practice address
55 Cold Spring Rd
Syosset, NY 11791-3108
Phone
(516) 921-5910
Fax
(516) 921-5310
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 059499 NY Primary

Addresses

Primary practice location

55 Cold Spring Rd
Syosset, NY 11791-3108

Mailing address

55 Cold Spring Rd
Syosset, NY 11791-3108
Phone (516) 921-5910

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

LicenseStateTypeSpecialty
059499NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1235523218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COLD SPRING RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913108",
            "telephone_number": "516-921-5910",
            "fax_number": "516-921-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COLD SPRING RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913108",
            "telephone_number": "516-921-5910",
            "fax_number": "516-921-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGERT",
        "first_name": "KRISTEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.