Michael Andrew Krun, RPH
Individual provider Active NPI Pharmacist · Selbyville, DE
NPI 1326323536 · NPPES record last updated Oct 19, 2011
Key facts
- NPI
- 1326323536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- A1-0001493 (DE)
- Practice address
- 37088 W Fenwick Blvd
Selbyville, DE 19975-3878 - Phone
- (302) 436-7191
- Fax
- (302) 436-7197
- NPI assigned
- Oct 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0001493 | DE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0001493 | DE | Yes |
Addresses
Primary practice location
37088 W Fenwick Blvd
Selbyville, DE 19975-3878
Mailing address
37088 W Fenwick Blvd
Selbyville, DE 19975-3878
Phone (302) 436-7191
Other providers in Selbyville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.