Individual provider Active NPI

Kristy Harden Maronie, PHARMACIST

  • Pharmacist
  • Pooler, GA
National Provider Identifier
1326347352
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023960 Issued in GA
Practice address
1038 Hwy 80 W
Pooler, GA 31322-2114
Phone
(912) 748-5155
Fax
(912) 748-3271
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023960 GA Primary

Addresses

Primary practice location

1038 Hwy 80 W
Pooler, GA 31322-2114

Mailing address

1038 Hwy 80 W
Pooler, GA 31322-2114
Phone (912) 748-5155

Other names 1

  • Kristy Elizabeth Harden 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

State licenses

LicenseStateTypeSpecialty
RPH023960GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1326347352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 HWY 80 W",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222114",
            "telephone_number": "912-748-5155",
            "fax_number": "912-748-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 HWY 80 W",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222114",
            "telephone_number": "912-748-5155",
            "fax_number": "912-748-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONIE",
        "first_name": "KRISTY",
        "middle_name": "HARDEN",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "HARDEN",
            "middle_name": "ELIZABETH",
            "credential": "PHARMACIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.