Active NPI
Kristin Anne Randall, PHARM.D.
- Pharmacist
- Stoughton, MA
National Provider Identifier
1659714616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69592
- Practice address
- 100 Technology Center Dr
Stoughton, MA 02072-4710 - Phone
- (781) 566-5066
- NPI assigned
- Apr 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19460 | CO | |
| Pharmacist | 183500000X | 69592 | TX | Primary |
Addresses
Primary practice location
100 Technology Center Dr
Stoughton, MA 02072-4710
Mailing address
9277 Tundra Swan LN
Littleton, CO 80125-8485
Phone (720) 837-3979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19460 | Other | CO | CO PHARMACIST LICENSE |
| 69592 | Other | TX | TX PHARMACIST LICENSE |
Other names 1
- Dr. Kristin Anne Walsh
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 |
|---|---|---|---|
| 19460 | CO | MD | Pharmacist |
| 69592 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients | |
| Rio Grande Urology PA | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Castle Pines, CO
- NPI 1417983602
-
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1770528440
-
- Specialist
- El Paso, TX
- NPI 1750416921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1659714616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9277 TUNDRA SWAN LN",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801258485",
"telephone_number": "720-837-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TECHNOLOGY CENTER DR",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724710",
"telephone_number": "781-566-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "KRISTIN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "19460",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO PHARMACIST LICENSE",
"identifier": "19460",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX PHARMACIST LICENSE",
"identifier": "69592",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "WALSH",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.