Individual provider Active NPI

Karen Marie Krake, RPH

  • Pharmacist
  • Monroe, MI
National Provider Identifier
1306089446
Registry record updated Apr 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
410617 Issued in MI
Practice address
507 S Telegraph Rd
Monroe, MI 48161-1613
Phone
(734) 243-6700
Fax
(734) 242-2112
NPI assigned
Apr 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 410617 MI Primary

Addresses

Primary practice location

507 S Telegraph Rd
Monroe, MI 48161-1613

Mailing address

507 S Telegraph Rd
Monroe, MI 48161-1613
Phone (734) 243-6700

Other names 1

  • Karen Marie Oneil Former name

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

LicenseStateTypeSpecialty
410617MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Drug Stores Inc and Subsidiaries Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240012800000",
    "number": "1306089446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611613",
            "telephone_number": "734-243-6700",
            "fax_number": "734-242-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611613",
            "telephone_number": "734-243-6700",
            "fax_number": "734-242-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKE",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-18",
        "last_updated": "2009-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "410617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "ONEIL",
            "middle_name": "MARIE",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.