Active NPI
Kristin Leroy
- Pharmacy Technician
- Waldwick, NJ
National Provider Identifier
1508142027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 28RW00579300
- Practice address
- 72 Crescent Ave
Waldwick, NJ 07463-1345 - Phone
- (201) 444-2754
- NPI assigned
- Oct 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 28RW00579300 | NJ | Primary |
Addresses
Primary practice location
72 Crescent Ave
Waldwick, NJ 07463-1345
Mailing address
72 Crescent Ave
Waldwick, NJ 07463-1345
Phone (201) 444-2754
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RW00579300 | NJ | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1508142027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CRESCENT AVE",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631345",
"telephone_number": "201-444-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 CRESCENT AVE",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631345",
"telephone_number": "201-444-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NJ",
"license": "28RW00579300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldwick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.