Kristy Williams Larson, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Sugar Hill, GA

NPI 1326705153 · NPPES record last updated Nov 29, 2021

Key facts

NPI
1326705153
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
021223 (GA)
Practice address
6001 Cumming Hwy
Sugar Hill, GA 30518-6112
Phone
(678) 546-4113
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Co Past
since Dec 5, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 021223 GA Yes

Addresses

Primary practice location

6001 Cumming Hwy
Sugar Hill, GA 30518-6112

Mailing address

705 Lakeglen Dr
Suwanee, GA 30024-3466
Phone (912) 669-8869

Other names

  • Dr. Kristy Williams Connell Former name

Other providers in Sugar Hill, GA

All providers in Sugar Hill, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.