Individual provider Active NPI

Kristen Patricia Ignacio, RPH

  • Pharmacist
  • Dracut, MA
National Provider Identifier
1669073565
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23644 Issued in MA
Practice address
301 Pleasant St
Dracut, MA 01826-4909
Phone
(978) 452-5255
Fax
(978) 459-8433
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23644 MA Primary

Addresses

Primary practice location

301 Pleasant St
Dracut, MA 01826-4909

Mailing address

301 Pleasant St
Dracut, MA 01826-4909
Phone (978) 452-5255

Other identifiers 2

IdentifierTypeStateIssuer
23644OtherMAMA BOARD OF PHARMACY LICENSE NUMBER
3116OtherNHNH BOARD OF PHARMACY LICENSE NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Khardy@hannaford.com Health Information Exchange (HIE)
Direct Messaging Address khardy@hannaford.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
23644MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1669073565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PLEASANT ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264909",
            "telephone_number": "978-452-5255",
            "fax_number": "978-459-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PLEASANT ST",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018264909",
            "telephone_number": "978-452-5255",
            "fax_number": "978-459-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "KRISTEN",
        "middle_name": "PATRICIA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "23644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "23644",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "3116",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Khardy@hannaford.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 Pleasant St",
            "city": "Dracut",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018264909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khardy@hannaford.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 Pleasant St",
            "city": "Dracut",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018264909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.