Active NPI
Kristen Hollys Aschbrenner, PHARMD
- Pharmacist
- Wausau, WI
National Provider Identifier
1427644103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16048-40
- Practice address
- 102 Central Bridge St
Wausau, WI 54401-2944 - Phone
- (715) 842-0744
- NPI assigned
- Dec 16, 2020
- Last updated
- Dec 16, 2020
- 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 | 16048-40 | WI | Primary |
Addresses
Primary practice location
102 Central Bridge St
Wausau, WI 54401-2944
Mailing address
1100 Highland Park Blvd
Wausau, WI 54403-5000
Phone (715) 297-5251
Other names 1
- Kristen Hollys Bagnall
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 |
|---|---|---|---|
| 16048-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1427644103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 HIGHLAND PARK BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544035000",
"telephone_number": "715-297-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CENTRAL BRIDGE ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544012944",
"telephone_number": "715-842-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASCHBRENNER",
"first_name": "KRISTEN",
"middle_name": "HOLLYS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-16",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16048-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BAGNALL",
"middle_name": "HOLLYS",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wausau, WI
- Cara Anne Arrowood
- Lacy Joyce Arrowood, APNP
- Ascension Medical Group-Northern Wisconsin, Inc (Ascension Medical Group)
- Ascension Wisconsin Pharmacy, Inc (Ascension Rx 701)
- Ascension Wisconsin Pharmacy, Inc. (Ascension Wisconsin Pharmacy #701)
- Mathew Warren Aschbrenner, MD
- Nicholas Aschbrenner, OT
- Jordan L. Ashton, D.O.
- Aspirus Inc
- Aspirus Inc (Aspirus Imaging)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.