Kristen Anne Spoon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

27887 Issued in NC

Practice address

841 Old Winston Rd Ste 90
Kernersville, NC 27284-7145

Phone

(336) 497-4511

Fax

(336) 497-4511

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Kernersville Pharmacy LLC

  dba Kernersville Pharmacy

  • Community/Retail Pharmacy
  • Kernersville, NC
  • NPI 1467770644
  NPD (past)
• Kernersville Pharmacy LLC

  dba Kernersville Pharmacy

  • Community/Retail Pharmacy
  • Kernersville, NC
  • NPI 1881996114
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1457911869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 OLD WINSTON RD STE 90",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847145",
            "telephone_number": "336-497-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 OLD WINSTON RD STE 90",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847145",
            "telephone_number": "336-497-4511",
            "fax_number": "336-497-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOON",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "compounding@kernersvillepharmacy.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "841 Old Winston Rd Ste 90",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272847145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha G Spain, RD
• Christy Ladonna Sparks, PT
• Kristen Spears, PHARMD, RPH
• Cassidy Spencer
• Mandy Marie Sperle, FNP-C
• Rachel Sprague, M.ED, LCMHC
• Jerry David Spriggs Jr., PSY.D.
• Springwell Network, Inc.
• Genevieve Stafford, LCMHCA
• Gregory Benjamin Stahr, DMD

• Pharmacist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.