Individual provider Active NPI

Kristopher James Swanson

  • Pharmacy Technician
  • Oxford, PA
National Provider Identifier
1265057459
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
Practice address
800 Commons Dr
Oxford, PA 19363-1247
Phone
(484) 702-7311
Fax
(484) 702-7225
NPI assigned
Jun 12, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X NU Primary

Addresses

Primary practice location

800 Commons Dr
Oxford, PA 19363-1247

Mailing address

800 Commons Dr
Oxford, PA 19363-1247
Phone (484) 702-7311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kjs008u.s05795@stores.us.wal-mart.com Direct Wal-Mart Stores East LP

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

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1265057459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMMONS DR",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631247",
            "telephone_number": "484-702-7311",
            "fax_number": "484-702-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMMONS DR",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631247",
            "telephone_number": "484-702-7311",
            "fax_number": "484-702-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KRISTOPHER",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjs008u.s05795@stores.us.wal-mart.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Wal-Mart Stores East LP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Commons Dr",
            "city": "Oxford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193631247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.