Individual provider Active NPI

Kristin Joy Wolter, PHARMD

  • Pharmacist
  • Phoenix, AZ
National Provider Identifier
1437541729
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S018586 Issued in AZ
Practice address
2320 W Peoria Ave Ste D132
Phoenix, AZ 85029-4768
Phone
(877) 678-5400
Fax
(602) 678-5401
NPI assigned
Feb 24, 2015
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S018586 AZ Primary
Pharmacist 183500000X 18314 AL
Pharmacist 183500000X PD12603 AR
Pharmacist 183500000X P7016 ID
Pharmacist 183500000X 170030 KY
Pharmacist 183500000X PST.020517 LA
Pharmacist 183500000X 22348 MD
Pharmacist 183500000X P13378 MS
Pharmacist 183500000X 14523 NE
Pharmacist 183500000X 28RI0369000 NJ
Pharmacist 183500000X RPH-0014092 OR
Pharmacist 183500000X 38099 TN
Pharmacist 183500000X 0202-212893 VA
Pharmacist 183500000X RP0008504 WV

Addresses

Primary practice location

2320 W Peoria Ave Ste D132
Phoenix, AZ 85029-4768

Mailing address

2320 W Peoria Ave Ste D132
Phoenix, AZ 85029-4768
Phone (877) 678-5400

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
14523NEMDMental Health Counselor
18314ALMDPharmacist
PD12603ARMDPharmacist
S018586AZMDPharmacist
P7016IDMDPharmacist
170030KYMDPharmacist
PST.020517LAMDPharmacist
P13378MSMDPharmacist
28RI0369000NJMDPharmacist
RPH-0014092ORMDPharmacist
38099TNMDPharmacist
0202-212893VAMDPharmacist
RP0008504WVMDPharmacist
22348MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pharmacy Inc PastSince May 22, 2022 Accepting new patients
Phoenix Toxicology & Lab Services 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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1437541729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W PEORIA AVE STE D132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294768",
            "telephone_number": "877-678-5400",
            "fax_number": "602-678-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 W PEORIA AVE STE D132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294768",
            "telephone_number": "877-678-5400",
            "fax_number": "602-678-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "KRISTIN",
        "middle_name": "JOY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018586",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "18314",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12603",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7016",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "170030",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.020517",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "22348",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "P13378",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "14523",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI0369000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014092",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "38099",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202-212893",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0008504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.