Jill Krabak, PHARMD, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AK001230 Issued in PA

Practice address

73 Montage Mountain Rd
Moosic, PA 18507-1751

Phone

(570) 630-4001

NPI assigned

May 29, 2007

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acupuncturerx

  • Clinic/Center
  • Moosic, PA
  • NPI 1538642764
  NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1679774863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 1/2 REAR FRONT ST",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341946",
            "telephone_number": "215-435-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MONTAGE MOUNTAIN RD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071751",
            "telephone_number": "570-630-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRABAK",
        "first_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PHARMD, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-03-14",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R102820100",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP045901L",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maheen Khan, DO
• Kimball Dialysis LLC
• Christopher Kirby
• Gina Kneeream
• Dane Michael Kozlevcar, M.S.P.T.
• Michael Kreidler, MFT
• Barbara A Kreseski, LSW
• Daryl Krouse, PA-C
• Anne L. Krupa, LCSW
• Tomislav Kucuk, CRNP

• Acupuncturist in Moosic, PA
• Providers in Moosic, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.