Active NPI
Kristen Holby, RPH, PHARMD
- Pharmacist
- Flushing, NY
National Provider Identifier
1265664841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052692
- Practice address
- 3526 Francis Lewis Blvd
Flushing, NY 11358-1954 - Phone
- (718) 353-1571
- Fax
- (718) 353-3172
- NPI assigned
- Aug 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 052692 | NY | Primary |
Addresses
Primary practice location
3526 Francis Lewis Blvd
Flushing, NY 11358-1954
Mailing address
3526 Francis Lewis Blvd
Flushing, NY 11358-1954
Phone (718) 353-1571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052692 | Other | NY | NY STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 052692 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1265664841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 FRANCIS LEWIS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581954",
"telephone_number": "718-353-1571",
"fax_number": "718-353-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 FRANCIS LEWIS BLVD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113581954",
"telephone_number": "718-353-1571",
"fax_number": "718-353-3172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBY",
"first_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE NUMBER",
"identifier": "052692",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.