Individual provider Active NPI

Kristen Kohl Verderber, PHARM.D

  • Pharmacist
  • Boca Raton, FL
National Provider Identifier
1609295252
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41432 Issued in FL
Practice address
660 NE Lakeview Ter
Boca Raton, FL 33431-6914
Phone
(561) 317-4440
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41432 FL Primary
Pharmacist 183500000X RPH023294 GA

Addresses

Primary practice location

660 NE Lakeview Ter
Boca Raton, FL 33431-6914

Mailing address

660 NE Lakeview Ter
Boca Raton, FL 33431-6914
Phone (561) 317-4440

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

LicenseStateTypeSpecialty
PS41432FLMDPharmacist
RPH023294GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1609295252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NE LAKEVIEW TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316914",
            "telephone_number": "561-317-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 NE LAKEVIEW TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316914",
            "telephone_number": "561-317-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDERBER",
        "first_name": "KRISTEN",
        "middle_name": "KOHL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41432",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.