Active NPI
Kristin Spencer, PHARMD
- Pharmacist
- Cambridge, MA
National Provider Identifier
1326667924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240033
- Practice address
- 330 River St
Cambridge, MA 02139-4618 - Phone
- (617) 492-9030
- Fax
- (617) 492-0760
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03338116 | OH | |
| Pharmacist | 183500000X | PH240033 | MA | Primary |
Addresses
Primary practice location
330 River St
Cambridge, MA 02139-4618
Mailing address
5 Saint Paul St
Wilmington, MA 01887-1828
Phone (330) 601-6094
Other practice location 1
4497 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 396-1358
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 |
|---|---|---|---|
| PH240033 | MA | MD | Pharmacist |
| 03338116 | OH | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1326667924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SAINT PAUL ST",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018871828",
"telephone_number": "330-601-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 RIVER ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394618",
"telephone_number": "617-492-9030",
"fax_number": "617-492-0760"
}
],
"practiceLocations": [
{
"address_1": "4497 Far Hills Ave",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454292405",
"country_code": "US",
"telephone_number": "937-396-1358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "KRISTIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03338116",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.