Individual provider Active NPI

Kristen Kroening

  • Pharmacist
  • Sugar Grove, IL
National Provider Identifier
1497102941
Registry record updated May 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051291820 Issued in IL
Practice address
465 Route 47
Sugar Grove, IL 60554-9402
Phone
(630) 466-3769
Fax
(630) 466-4078
NPI assigned
May 14, 2016
Last updated
May 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051291820 IL Primary

Addresses

Primary practice location

465 Route 47
Sugar Grove, IL 60554-9402

Mailing address

465 Route 47
Sugar Grove, IL 60554-9402
Phone (630) 466-3769

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

LicenseStateTypeSpecialty
051291820ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1497102941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 ROUTE 47",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549402",
            "telephone_number": "630-466-3769",
            "fax_number": "630-466-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 ROUTE 47",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549402",
            "telephone_number": "630-466-3769",
            "fax_number": "630-466-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROENING",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; 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.