Individual provider Active NPI

Floyd Krieghoff, R.PH.

  • Pharmacist
  • Texarkana, TX
National Provider Identifier
1538540042
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42244 Issued in TX
Practice address
2610 Richmond Rd
Texarkana, TX 75503-2327
Phone
(903) 832-2258
Fax
(903) 832-2451
NPI assigned
Jun 11, 2015
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 42244 TX Primary

Addresses

Primary practice location

2610 Richmond Rd
Texarkana, TX 75503-2327

Mailing address

2610 Richmond Rd
Texarkana, TX 75503-2327
Phone (903) 832-2258

Other identifiers 1

IdentifierTypeStateIssuer
463944MedicaidTX

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
42244TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1538540042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032327",
            "telephone_number": "903-832-2258",
            "fax_number": "903-832-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032327",
            "telephone_number": "903-832-2258",
            "fax_number": "903-832-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGHOFF",
        "first_name": "FLOYD",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463944",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.