Active NPI
Kristen Jean Gitter
- Pharmacist
- Eagan, MN
National Provider Identifier
1598308165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117927
- Practice address
- 1940 Cliff Lake Rd
Eagan, MN 55122-2492 - Phone
- (651) 454-5150
- NPI assigned
- Oct 25, 2019
- Last updated
- Oct 25, 2019
- 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 | 117927 | MN | Primary |
Addresses
Primary practice location
1940 Cliff Lake Rd
Eagan, MN 55122-2492
Mailing address
2342 Field Stone Dr
Mendota Heights, MN 55120-1920
Phone (651) 216-4503
Other names 1
- Kristen Jean Gitter
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 |
|---|---|---|---|
| 117927 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies 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": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1598308165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2342 FIELD STONE DR",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201920",
"telephone_number": "651-216-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 CLIFF LAKE RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222492",
"telephone_number": "651-454-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTER",
"first_name": "KRISTEN",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "GITTER",
"middle_name": "JEAN",
"credential": "KRISTEN SCHNEIDER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.