Individual provider Active NPI

Krystin St Romain, PHARM D

  • Pharmacist
  • Berwick, LA
National Provider Identifier
1730588922
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019602 Issued in LA
Practice address
300 Canton St
Berwick, LA 70342-2723
Phone
(985) 918-5511
NPI assigned
Aug 14, 2014
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 019602 LA Primary

Addresses

Primary practice location

300 Canton St
Berwick, LA 70342-2723

Mailing address

300 Canton St
Berwick, LA 70342-2723
Phone (985) 918-5511

Other practice location 1

973 Highway 90 E
Morgan City, LA 70380-5156
Phone (985) 395-9625

Other practice location 2

1125 Marguerite St
Morgan City, LA 70380-1855
Phone (985) 380-4414

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

LicenseStateTypeSpecialty
019602LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oaks Pharmacy CurrentSince Jun 30, 2024 Accepting new patients
Southern Oaks Pharmacy CurrentSince Sep 14, 2025 Accepting new patients

Locations

300 Canton St
Berwick, LA 70342
Phone (985) 918-5511

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1730588922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CANTON ST",
            "city": "BERWICK",
            "state": "LA",
            "postal_code": "703422723",
            "telephone_number": "985-918-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CANTON ST",
            "city": "BERWICK",
            "state": "LA",
            "postal_code": "703422723",
            "telephone_number": "985-918-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "973 Highway 90 E",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703805156",
            "country_code": "US",
            "telephone_number": "985-395-9625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Marguerite St",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801855",
            "country_code": "US",
            "telephone_number": "985-380-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST ROMAIN",
        "first_name": "KRYSTIN",
        "name_prefix": "Mrs.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "019602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.