Krystal KC Riccio, PHARMD, BCACP, CDCES

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

17625 Issued in NV

Practice address

3050 E Desert Inn Rd Ste 116
Las Vegas, NV 89121-3872

Phone

(702) 796-0660

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1295964146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUNSET WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142333",
            "telephone_number": "702-968-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E DESERT INN RD STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213872",
            "telephone_number": "702-796-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Sunset Way",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890142333",
            "country_code": "US",
            "telephone_number": "702-968-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCIO",
        "first_name": "KRYSTAL",
        "middle_name": "KC",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCACP, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NV",
            "license": "17625",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NV",
            "license": "17625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Ricci, RN
• Anthony M Ricciardi, DPM
• Dominic L. Ricciardi, MD
• Giulia Ricciardi
• Lindsey Bocchieri Ricciardi, PHD
• Nai Talia Ricco
• Philip Leonard Riccobono, L.C.S.W., LTD
• Alexis Rice
• Alexis Nicole Taylan Rice, DO
• Alfredia Rice

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.