Active NPI
Regina Elizabeth Kruger, PHARMD, RPH
- Pharmacist
- Corvallis, OR
National Provider Identifier
1255920658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0017831
- Practice address
- 590 NE Circle Blvd
Corvallis, OR 97330-6828 - Phone
- (541) 753-1547
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13998-040 | WI | |
| Pharmacist | 183500000X | 0017831 | OR | Primary |
Addresses
Primary practice location
590 NE Circle Blvd
Corvallis, OR 97330-6828
Mailing address
2195 NW Jackson Creek Rd
Corvallis, OR 97330-9664
Phone (347) 351-8634
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017831 | OR | MD | Pharmacist |
| 13998-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1255920658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 NW JACKSON CREEK RD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973309664",
"telephone_number": "347-351-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 NE CIRCLE BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973306828",
"telephone_number": "541-753-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "REGINA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13998-040",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0017831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.