Active NPI
Kristin Bogar, CPHT
- Pharmacy Technician
- Yelm, WA
National Provider Identifier
1407424641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- VA60222370
- Practice address
- 909 E Yelm Ave
Yelm, WA 98597-9425 - Phone
- (360) 515-1189
- NPI assigned
- Jun 15, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | VA60222370 | WA | Primary |
Addresses
Primary practice location
909 E Yelm Ave
Yelm, WA 98597-9425
Mailing address
10709 Van Norhop St SE
Yelm, WA 98597-8435
Phone (360) 515-1189
Other names 1
- Kristin Keltner
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 |
|---|---|---|---|
| VA60222370 | WA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1407424641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10709 VAN NORHOP ST SE",
"city": "YELM",
"state": "WA",
"postal_code": "985978435",
"telephone_number": "360-515-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E YELM AVE",
"city": "YELM",
"state": "WA",
"postal_code": "985979425",
"telephone_number": "360-515-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGAR",
"first_name": "KRISTIN",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "WA",
"license": "VA60222370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "KELTNER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.