Active NPI
Kristen M Hillebrand, PHARM.D.
- Pharmacist
- Vero Beach, FL
National Provider Identifier
1669726501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49415
- Practice address
- 1000 36TH St
Vero Beach, FL 32960-4862 - Phone
- (772) 567-4311
- NPI assigned
- Oct 30, 2012
- 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 | PS49415 | FL | Primary |
Addresses
Primary practice location
1000 36TH St
Vero Beach, FL 32960-4862
Mailing address
5020 Fairways Cir Apt 307
Vero Beach, FL 32967-7400
Phone (772) 567-4311
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 |
|---|---|---|---|
| PS49415 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1669726501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 FAIRWAYS CIR APT 307",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329677400",
"telephone_number": "772-567-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-567-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLEBRAND",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.