Active NPI
Krista Pedersen, PHARM.D.
- Pharmacist
- Montgomery, AL
National Provider Identifier
1346615499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18982
- Practice address
- 1011 Perry Hill Rd
Montgomery, AL 36109-4521 - Phone
- (334) 270-0660
- NPI assigned
- Dec 1, 2015
- 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 | 18982 | AL | Primary |
Addresses
Primary practice location
1011 Perry Hill Rd
Montgomery, AL 36109-4521
Mailing address
724 Heatherwood Dr
Hoover, AL 35244-3255
Phone (205) 541-0807
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 |
|---|---|---|---|
| 18982 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1346615499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 HEATHERWOOD DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352443255",
"telephone_number": "205-541-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PERRY HILL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361094521",
"telephone_number": "334-270-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "KRISTA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
- Peace on the Streets Tutoring and Training Center Inc
- Carlie Layne Peacock, NP
- Rufus Shanks Pearson Jr., CRNA
- Samuel Lavone Peavy, D.C.
- Stephanie Peavy
- Pediatric Healthcare, LLC
- Pediatric Specialists of Montgomery, L.L.C.
- Pediatric Therapy Services LLC
- Pediatrics After Hours Care LLC
- Pediatrics at Twilight,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.