Active NPI
Krissi Dawn Puckett, PHARMD
- Pharmacist
- Paducah, KY
National Provider Identifier
1528310034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016158
- Practice address
- 3360 Irvin Cobb Dr
Paducah, KY 42003-0501 - Phone
- (270) 444-8011
- NPI assigned
- Oct 8, 2012
- Last updated
- Oct 8, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016158 | KY | Primary |
Addresses
Primary practice location
3360 Irvin Cobb Dr
Paducah, KY 42003-0501
Mailing address
3360 Irvin Cobb Dr
Paducah, KY 42003-0501
Phone (270) 444-8011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016158 | KY | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1528310034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3360 IRVIN COBB DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420030501",
"telephone_number": "270-444-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3360 IRVIN COBB DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420030501",
"telephone_number": "270-444-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "KRISSI",
"middle_name": "DAWN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "016158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
- Paul H Price Jr., MD
- Hannah Pritchett
- Progressive Wellness
- Providence Point Healthcare, Inc. (Providence Pointe Healthcare)
- Mayme Deshea Pruitt, RPH
- Rachelle Marie Puckett, PSS
- Purchase Anesthesia, PSC
- Purchase Derm-ENT, PLLC
- Purchase District Health Department
- Purchase District Health Department (Purchase District Home Health Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.