Active NPI
Kristopher Stewart Ratliff, PHARM-D
- Pharmacist
- Marion, VA
National Provider Identifier
1255307609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202010102
- Practice address
- 1581 N Main St
Marion, VA 24354-4317 - Phone
- (276) 783-7284
- Fax
- (276) 783-3839
- NPI assigned
- Feb 26, 2006
- Sex
- Male
- 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 | 183500000X | 0202010102 | VA | Primary |
Addresses
Primary practice location
1581 N Main St
Marion, VA 24354-4317
Mailing address
344 W Main St
Marion, VA 24354-2416
Phone (276) 782-9891
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 |
|---|---|---|---|
| 0202010102 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DJKL Inc | Current | Accepting new patients | |
| T C K R Inc | Past | Accepting new patients |
Locations
1581 N Main St
Marion, VA 24354
Phone (276) 783-7284
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Marion, VA
- NPI 1891892634
-
- Community/Retail Pharmacy
- Marion, VA
- NPI 1619060043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1255307609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 W MAIN ST",
"city": "MARION",
"state": "VA",
"postal_code": "243542416",
"telephone_number": "276-782-9891",
"fax_number": "276-783-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1581 N MAIN ST",
"city": "MARION",
"state": "VA",
"postal_code": "243544317",
"telephone_number": "276-783-7284",
"fax_number": "276-783-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "KRISTOPHER",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "PHARM-D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-26",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202010102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.