Active NPI
Kristine Ann Roberson, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1295063352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34307
- Practice address
- 10858 Wurzbach Rd
San Antonio, TX 78230-2434 - Phone
- (210) 424-3644
- NPI assigned
- Dec 1, 2009
- Last updated
- Dec 1, 2009
- Sex
- Female
- 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 | 34307 | TX | Primary |
Addresses
Primary practice location
10858 Wurzbach Rd
San Antonio, TX 78230-2434
Mailing address
10858 Wurzbach Rd
San Antonio, TX 78230-2434
Phone (210) 424-3644
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34307 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1295063352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10858 WURZBACH RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302434",
"telephone_number": "210-424-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10858 WURZBACH RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302434",
"telephone_number": "210-424-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "KRISTINE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "34307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.