Active NPI
Krystin St Romain, PHARM D
- Pharmacist
- Berwick, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019602
- Practice address
- 300 Canton St
Berwick, LA 70342-2723 - Phone
- (985) 918-5511
- NPI assigned
- Aug 14, 2014
- Last updated
- Jun 24, 2024
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019602 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oaks Pharmacy | Current | Accepting new patients | |
| Southern Oaks Pharmacy | Current | 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.
-
- Community/Retail Pharmacy
- Berwick, LA
- NPI 1871367300
-
dba Southern Oaks Pharmacy-LTC
- Long Term Care Pharmacy
- Berwick, LA
- NPI 1952282246
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.