Individual provider Active NPI

Krystal Carol Satran, RPH

  • Pharmacist
  • Henderson, NV
National Provider Identifier
1235753583
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11125 Issued in NV
Practice address
575 College Dr
Henderson, NV 89015-7518
Phone
(702) 568-0259
Fax
(702) 568-0329
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11125 NV Primary

Addresses

Primary practice location

575 College Dr
Henderson, NV 89015-7518

Mailing address

575 College Dr
Henderson, NV 89015-7518
Phone (702) 568-0259

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11125NVMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1235753583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COLLEGE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157518",
            "telephone_number": "702-568-0259",
            "fax_number": "702-568-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COLLEGE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157518",
            "telephone_number": "702-568-0259",
            "fax_number": "702-568-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATRAN",
        "first_name": "KRYSTAL",
        "middle_name": "CAROL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "11125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.