Individual provider Active NPI

Kristen Michelle Hink, PHARMD.

  • Pharmacist
  • Oswego, IL
National Provider Identifier
1457863060
Registry record updated Nov 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051294792 Issued in IL
Practice address
2300 Route 34
Oswego, IL 60543-7132
Phone
(630) 554-5616
NPI assigned
Nov 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051294792 IL Primary

Addresses

Primary practice location

2300 Route 34
Oswego, IL 60543-7132

Mailing address

73 W Timberlake TRL
Oswego, IL 60543-9479

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
051294792ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509753600000",
    "number": "1457863060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 W TIMBERLAKE TRL",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ROUTE 34",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437132",
            "telephone_number": "630-554-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINK",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2017-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051294792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; 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.