Active NPI
Krista D Sanders, RPH
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1639406622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34196
- Practice address
- 3425 Sycamore School Rd
Fort Worth, TX 76123-3030 - Phone
- (817) 370-0505
- Fax
- (817) 370-2219
- NPI assigned
- Nov 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34196 | GA | Primary |
Addresses
Primary practice location
3425 Sycamore School Rd
Fort Worth, TX 76123-3030
Mailing address
3425 Sycamore School Rd
Fort Worth, TX 76123-3030
Phone (817) 370-0505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34196 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1639406622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 SYCAMORE SCHOOL RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761233030",
"telephone_number": "817-370-0505",
"fax_number": "817-370-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 SYCAMORE SCHOOL RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761233030",
"telephone_number": "817-370-0505",
"fax_number": "817-370-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KRISTA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "34196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.