Kristina Colizzi Windom

Primary specialty

PharmacistTaxonomy code 183500000X

License

10938 Issued in SC

Practice address

450 Azalea Square Blvd
Summerville, SC 29483-7321

Phone

(843) 871-6935

Fax

(843) 871-6935

NPI assigned

May 17, 2011

Last updated

May 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1255624714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 AZALEA SQUARE BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837321",
            "telephone_number": "843-871-6935",
            "fax_number": "843-871-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 AZALEA SQUARE BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837321",
            "telephone_number": "843-871-6935",
            "fax_number": "843-871-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDOM",
        "first_name": "KRISTINA",
        "middle_name": "COLIZZI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "10938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "0202010677",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "10938",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PS 39855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Spiegle Wilson, MD
• Lucretia D. Wilson, PMHNP-BC
• Selena Wilson, LPC
• Clarence William Wimberly Jr., MD
• Jonathan Polk Wimer, D.M.D
• Ashley Wing, FNP-BC
• Jennifer Marie Wingfield, PHARMD
• Seth Winkler, M.D.
• Hannah Winningham
• Brandon Scott Wishnow, DDS

• Pharmacist in Summerville, SC
• Providers in Summerville, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.