Active NPI
Krutika Mediwala, PHARMD
- Pharmacist
- Lexington, KY
National Provider Identifier
1659754869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017885
- Practice address
- 800 Rose St # H112
Lexington, KY 40536-0001 - Phone
- (859) 323-9258
- NPI assigned
- Jul 7, 2015
- 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 | 017885 | KY | Primary |
Addresses
Primary practice location
800 Rose St # H112
Lexington, KY 40536-0001
Mailing address
3050 Helmsdale PL
Apt 4301
Lexington, KY 40509-2478
Phone (864) 933-2756
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 |
|---|---|---|---|
| 017885 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1659754869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 HELMSDALE PL",
"address_2": "APT 4301",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092478",
"telephone_number": "864-933-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST # H112",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDIWALA",
"first_name": "KRUTIKA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "017885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Medcare Health LLC (MEDCARE House Calls)
- Medcare Mobile Primary Care PLLC
- Medical Heights Surgery Center, Inc. (Kentucky Surgery Center)
- Medical Vision Group, PSC
- Medical Vision Institute, PSC
- Charles David Medley, LCSW
- Glenn Norris Medley, R.PH.
- Kaisey Hampton Medley, PA-C
- Megan Medrano, RD, LD
- Medwiz of Kentucky, LLC (Medwiz Phamacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.