Kristen M Pellingra, PHARM.D., BCPS, BCPP

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

PH 00065741 Issued in WA

Practice address

3601 S 6TH Ave # 13-119
Tucson, AZ 85723-0001

Phone

(520) 792-1450

Fax

(520) 629-1864

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1679661268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 E SABIN DR BLDG A",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226197",
            "telephone_number": "520-792-1450",
            "fax_number": "520-368-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S 6TH AVE # 13-119",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857230001",
            "telephone_number": "520-792-1450",
            "fax_number": "520-629-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLINGRA",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "PHARM.D., BCPS, BCPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00065741",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WA",
            "license": "PH 00065741",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "WA",
            "license": "PH 00065741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Frederick Pelger, R.PH.
• Zelenia Olivia Pellat, LPC
• Erin Pellegrino
• Joseph Brendin Pellerito, PHARMD
• Gloria J Pelletier, CISW, LISAC
• Dru Pelter
• Madina Mahadi Pemba
• Bartholomew C Pemberton, O.D.
• Lori Pemberton, RPH
• Adriana Pena-Brooks, M.A., CCC-SLP

• Psychiatric Pharmacist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.