Active NPI
Kristyn Marie Herrera
- Pharmacist
- Crown Point, IN
National Provider Identifier
1437988664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26030796A
- Practice address
- 1276 N Main St
Crown Point, IN 46307-2757 - Phone
- (219) 662-0200
- NPI assigned
- Jul 27, 2024
- Last updated
- Jul 27, 2024
- 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 | 26030796A | IN | Primary |
Addresses
Primary practice location
1276 N Main St
Crown Point, IN 46307-2757
Mailing address
4300 W 105TH Ave
Crown Point, IN 46307-2533
Phone (219) 629-5073
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 |
|---|---|---|---|
| 26030796A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Partners LP | Past | Accepting new patients |
Organizations & group practices 1
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": "1722038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1437988664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W 105TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463072533",
"telephone_number": "219-629-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 N MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463072757",
"telephone_number": "219-662-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "KRISTYN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26030796A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.