Active NPI
Kristin Denise Derossett, PHARM.D.
- Pharmacist
- Deridder, LA
National Provider Identifier
1528316536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019817
- Practice address
- 916 N Pine St
Deridder, LA 70634-2816 - Phone
- (337) 462-2019
- NPI assigned
- Aug 22, 2012
- Last updated
- Aug 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019817 | LA | Primary |
| Pharmacist | 183500000X | 014738 | KY | |
| Pharmacist | 183500000X | 0000035707 | TN |
Addresses
Primary practice location
916 N Pine St
Deridder, LA 70634-2816
Mailing address
113 Mayhaw St
Deridder, LA 70634-2005
Phone (859) 321-6873
Other names 1
- Kristin Denise Talbott
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 |
|---|---|---|---|
| 014738 | KY | MD | Pharmacist |
| 019817 | LA | MD | Pharmacist |
| 0000035707 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345593600000",
"number": "1528316536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 MAYHAW ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342005",
"telephone_number": "859-321-6873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 N PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342816",
"telephone_number": "337-462-2019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROSSETT",
"first_name": "KRISTIN",
"middle_name": "DENISE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-22",
"last_updated": "2012-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "019817",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014738",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000035707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "TALBOTT",
"middle_name": "DENISE",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Deridder, LA
- Dental Plus, LLC
- Deridder Chiropractic, LLC (DeRidder Chiropractic)
- Deridder Medical Equipment Supply
- Deridder Optical LLC
- Deridder Retirement & Rehabilitation Center, LLC (DeRidder Retirement & Rehabilitation Center)
- Dimaggio Family Eye Care, Inc.
- Heather Dimaggio, O.D.
- Jeffrey Dobbins, M.D.
- T'Enaya Dow
- Sharon Melinda Dowden, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.