Individual provider Active NPI

Kristin Summers Meyer, PHARMD, CGP

  • Geriatric Pharmacist
  • Marshalltown, IA
National Provider Identifier
1457547606
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
19625 Issued in IA
Practice address
1301 Summit St
Drake Pharmacy Office
Marshalltown, IA 50158-5484
Phone
(641) 753-4580
Fax
(641) 753-4290
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 19625 IA Primary

Addresses

Primary practice location

1301 Summit St
Drake Pharmacy Office
Marshalltown, IA 50158-5484

Mailing address

1301 Summit St
Drake Pharmacy Office
Marshalltown, IA 50158-5484
Phone (641) 753-4580

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
19625IAMDGeriatric Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1457547606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUMMIT ST",
            "address_2": "DRAKE PHARMACY OFFICE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585484",
            "telephone_number": "641-753-4580",
            "fax_number": "641-753-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUMMIT ST",
            "address_2": "DRAKE PHARMACY OFFICE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585484",
            "telephone_number": "641-753-4580",
            "fax_number": "641-753-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KRISTIN",
        "middle_name": "SUMMERS",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "IA",
            "license": "19625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.