Active NPI
Kristen Patricia Ignacio, RPH
- Pharmacist
- Dracut, MA
National Provider Identifier
1669073565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23644
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23644 | Other | MA | MA BOARD OF PHARMACY LICENSE NUMBER |
| 3116 | Other | NH | NH BOARD OF PHARMACY LICENSE NUMBER |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23644 | MA | MD | Pharmacist |
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.