Kelly Olsson Cromer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

11831 Issued in NE

Practice address

PO Box 250
Macy, NE 68039-0250

Phone

(402) 837-5381

Fax

(402) 837-4358

NPI assigned

Jun 14, 2005

Reactivated

Sep 20, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2017.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1528063971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15206 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445447",
            "telephone_number": "402-359-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "MACY",
            "state": "NE",
            "postal_code": "680390250",
            "telephone_number": "402-837-5381",
            "fax_number": "402-837-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMER",
        "first_name": "KELLY",
        "middle_name": "OLSSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2017-09-20",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11831",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaine M Alley, PCMSW
• Lisa Jo Bargmann, RN
• Christine Marie Burns, PLMHP
• Linda Calvillo, RN
• Carl T Curtis Health Education Center
• Audrey Kay Cross, OTR L
• Charles A Dearborn, LPN0
• Sarah Mari Farrens, RN
• Derek A Fender, D.D.S.
• Ronald James Freemont Jr., NREMT I

• All providers in Macy, NE
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.