Active NPI
Krista Ralston
- Pharmacist
- Waterloo, IA
National Provider Identifier
1588283014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20695
- Practice address
- 2834 Ansborough Ave
Waterloo, IA 50701-4418 - Phone
- (319) 226-3514
- NPI assigned
- Apr 14, 2020
- Last updated
- Jun 6, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20695 | IA | Primary |
Addresses
Primary practice location
2834 Ansborough Ave
Waterloo, IA 50701-4418
Mailing address
840 S Oak St
Iowa Falls, IA 50126-9547
Phone (641) 648-5109
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 1860pharmacymgr@hy-vee.com |
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 |
|---|---|---|---|
| 20695 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591401600000",
"number": "1588283014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S OAK ST",
"city": "IOWA FALLS",
"state": "IA",
"postal_code": "501269547",
"telephone_number": "641-648-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2834 ANSBOROUGH AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014418",
"telephone_number": "319-226-3514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "KRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2020-06-06",
"certification_date": "2020-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20695",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "1860pharmacymgr@hy-vee.com",
"affiliation": "N",
"address_1": "2834 Ansborough Ave",
"city": "Waterloo",
"state": "IA",
"country_code": "US",
"postal_code": "507014418",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.