Active NPI
Kristen Danielle Ward, PHARMD
- Pharmacist
- Beaufort, SC
National Provider Identifier
1336662634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028437
- Practice address
- 1 Pinckney Blvd
Beaufort, SC 29902-6122 - Phone
- (843) 228-5816
- NPI assigned
- Jul 19, 2017
- Last updated
- Nov 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028437 | GA | Primary |
Addresses
Primary practice location
1 Pinckney Blvd
Beaufort, SC 29902-6122
Mailing address
1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone (843) 228-5816
Other practice location 1
2005 Knight Lane, Bldg H
Bureau of Medicine & Surgery, Attn: Medical Staff Serv
Jacksonville, FL 32212-0140
Phone (904) 542-7200
Other names 1
- Kristen Danielle Long
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 |
|---|---|---|---|
| RPH028437 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1336662634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026122",
"telephone_number": "843-228-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026122",
"telephone_number": "843-228-5816"
}
],
"practiceLocations": [
{
"address_1": "2005 Knight Lane, Bldg H",
"address_2": "Bureau of Medicine & Surgery, Attn: Medical Staff Serv",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322120140",
"country_code": "US",
"telephone_number": "904-542-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARD",
"first_name": "KRISTEN",
"middle_name": "DANIELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "LONG",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.