Active NPI
Kristen Marlene Kirdahy, PHARMD, BCPS
- Pharmacotherapy Pharmacist
- Fort Myers, FL
National Provider Identifier
1447650270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS 46281
- Practice address
- 8931 Colonial Center Dr
Suite 200 - Pharmacy
Fort Myers, FL 33905-7809 - Phone
- (239) 343-9523
- Fax
- (239) 343-9524
- NPI assigned
- Aug 29, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS 46281 | FL | Primary |
Addresses
Primary practice location
8931 Colonial Center Dr
Suite 200 - Pharmacy
Fort Myers, FL 33905-7809
Mailing address
8931 Colonial Center Dr
Suite 200 - Pharmacy
Fort Myers, FL 33905-7809
Phone (239) 343-9523
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 |
|---|---|---|---|
| PS 46281 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1447650270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8931 COLONIAL CENTER DR",
"address_2": "SUITE 200 - PHARMACY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057809",
"telephone_number": "239-343-9523",
"fax_number": "239-343-9524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8931 COLONIAL CENTER DR",
"address_2": "SUITE 200 - PHARMACY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057809",
"telephone_number": "239-343-9523",
"fax_number": "239-343-9524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRDAHY",
"first_name": "KRISTEN",
"middle_name": "MARLENE",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS 46281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.