Active NPI
Kristen E Poore, PHARMD
- Pharmacist
- Johnston, IA
National Provider Identifier
1326325234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20714
- Practice address
- 6200 Merle Hay Rd
Johnston, IA 50131-1225 - Phone
- (515) 331-0497
- Fax
- (515) 331-2306
- NPI assigned
- Nov 5, 2011
- 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 | 20714 | IA | Primary |
Addresses
Primary practice location
6200 Merle Hay Rd
Johnston, IA 50131-1225
Mailing address
5014 Meadow Cir
Johnston, IA 50131-1077
Phone (515) 210-1507
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20714 | IA | MD | Pharmacist |
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": "1320451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320451200000",
"number": "1326325234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5014 MEADOW CIR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311077",
"telephone_number": "515-210-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 MERLE HAY RD",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311225",
"telephone_number": "515-331-0497",
"fax_number": "515-331-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POORE",
"first_name": "KRISTEN",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-05",
"last_updated": "2011-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.