Active NPI
Michelle Kraynak, PHARMD
- Pharmacist
- Phoenixville, PA
National Provider Identifier
1609471986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP455008
- Practice address
- 700 Nutt Rd
Phoenixville, PA 19460-3344 - Phone
- (610) 917-9310
- NPI assigned
- Dec 3, 2020
- Last updated
- May 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP455008 | PA | Primary |
| Community/Retail Pharmacy | 3336C0003X | RP455008 | PA |
Addresses
Primary practice location
700 Nutt Rd
Phoenixville, PA 19460-3344
Mailing address
627 Waterfall Way
Phoenixville, PA 19460-4703
Phone (484) 844-0158
Other practice location 1
1450 Pottstown Pike
West Chester, PA 19380-1103
Phone (610) 692-6393
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 |
|---|---|---|---|
| RP455008 | PA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy LLC | Community/Retail Pharmacy | Past | Accepting new patients |
| Pennsylvania CVS Pharmacy, L.L.C. | Community/Retail Pharmacy | 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": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1609471986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 WATERFALL WAY",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604703",
"telephone_number": "484-844-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NUTT RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194603344",
"telephone_number": "610-917-9310"
}
],
"practiceLocations": [
{
"address_1": "1450 Pottstown Pike",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "PA",
"postal_code": "193801103",
"country_code": "US",
"telephone_number": "610-692-6393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAYNAK",
"first_name": "MICHELLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP455008",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "RP455008",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.