Active NPI
Krista Krull-Goss
- Pharmacist
- Watertown, NY
National Provider Identifier
1346572369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054208-1
- Practice address
- 18969 US Route 11
Watertown, NY 13601-6329 - Phone
- (315) 782-1992
- Fax
- (315) 782-3088
- NPI assigned
- Feb 1, 2010
- 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 | 054208-1 | NY | Primary |
| Pharmacist | 183500000X | RP439364 | PA |
Addresses
Primary practice location
18969 US Route 11
Watertown, NY 13601-6329
Mailing address
PO Box 680
Watertown, NY 13601-0680
Phone (315) 782-1992
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054208-1 | NY | MD | Pharmacist |
| RP439364 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1346572369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 680",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136010680",
"telephone_number": "315-782-1992",
"fax_number": "315-782-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18969 US ROUTE 11",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136016329",
"telephone_number": "315-782-1992",
"fax_number": "315-782-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRULL-GOSS",
"first_name": "KRISTA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054208-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439364",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.