Individual provider Active NPI

Kristine M Frommelt

  • Pharmacist
  • Dubuque, IA
National Provider Identifier
1245855220
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18823 Issued in IA
Practice address
4400 Asbury Rd
Dubuque, IA 52002-0406
Phone
(563) 587-0586
Fax
(563) 587-0588
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 18823 IA Primary

Addresses

Primary practice location

4400 Asbury Rd
Dubuque, IA 52002-0406

Mailing address

25982 Tom Lucas Rd
Holy Cross, IA 52053-9310
Phone (563) 581-0357

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
18823IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1245855220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 TOM LUCAS RD",
            "city": "HOLY CROSS",
            "state": "IA",
            "postal_code": "520539310",
            "telephone_number": "563-581-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520020406",
            "telephone_number": "563-587-0586",
            "fax_number": "563-587-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMMELT",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.