NPIMap

Individual provider Active NPI

Kristen Bucklew, PHARMD

  • Pharmacist
  • Cranberry Township, PA
National Provider Identifier
1407375603
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP451928 Issued in PA
Practice address
20480 Route 19
Cranberry Township, PA 16066-7501
Phone
(724) 778-8989
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP451928 PA Primary

Addresses

Primary practice location

20480 Route 19
Cranberry Township, PA 16066-7501

Mailing address

5310 Riverfront Dr
Pittsburgh, PA 15238-3193
Phone (513) 886-1102

Other practice location 1

4770 McKnight Rd
Pittsburgh, PA 15237-3416
Phone (412) 364-8100

Other practice location 2

535 Lincoln Ave
Bellevue, PA 15202-3548
Phone (412) 761-1890

Other practice location 3

623 E Ohio St
Pittsburgh, PA 15212-5619
Phone (412) 322-1566

Other practice location 4

1125 Freeport Rd
Pittsburgh, PA 15238-3103
Phone (412) 782-2277

Other practice location 5

900 Mount Royal Blvd
Pittsburgh, PA 15223-1060
Phone (412) 487-5706

Other practice location 6

201 Devine Dr
Wexford, PA 15090-7650
Phone (724) 935-1880

Other practice location 7

4155 Ewalt Rd
Gibsonia, PA 15044-7513
Phone (724) 449-8080

Other practice location 8

1710 Mount Royal Blvd
Glenshaw, PA 15116-2115
Phone (412) 487-8767

Other practice location 9

623 Smithfield St
Pittsburgh, PA 15222-2505
Phone (412) 471-8882

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

LicenseStateTypeSpecialty
RP451928PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc Past Accepting new patients
Thrift Drug Inc Past Accepting new patients
Thrift Drug Inc Past Accepting new patients
Thrift Drug Inc Past Accepting new patients
Rite Aid of Pennsylvania, LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Thrift Drug Inc Past Accepting new patients
Thrift Drug Inc Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Rite Aid of Pennsylvania LLC Past Accepting new patients
Eckerd Corporation Past Accepting new patients

Organizations & group practices 11

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1407375603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 RIVERFRONT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152383193",
            "telephone_number": "513-886-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20480 ROUTE 19",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160667501",
            "telephone_number": "724-778-8989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 McKnight Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152373416",
            "country_code": "US",
            "telephone_number": "412-364-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "PA",
            "postal_code": "152023548",
            "country_code": "US",
            "telephone_number": "412-761-1890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 E Ohio St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152125619",
            "country_code": "US",
            "telephone_number": "412-322-1566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Freeport Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152383103",
            "country_code": "US",
            "telephone_number": "412-782-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Mount Royal Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152231060",
            "country_code": "US",
            "telephone_number": "412-487-5706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Devine Dr",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150907650",
            "country_code": "US",
            "telephone_number": "724-935-1880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 Ewalt Rd",
            "address_purpose": "LOCATION",
            "city": "Gibsonia",
            "state": "PA",
            "postal_code": "150447513",
            "country_code": "US",
            "telephone_number": "724-449-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Mount Royal Blvd",
            "address_purpose": "LOCATION",
            "city": "Glenshaw",
            "state": "PA",
            "postal_code": "151162115",
            "country_code": "US",
            "telephone_number": "412-487-8767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 Smithfield St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152222505",
            "country_code": "US",
            "telephone_number": "412-471-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEW",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.