Active NPI
Kristen Marie Daubert, PHARMD
- Pharmacist
- West Monroe, LA
National Provider Identifier
1770009375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.022119
- Practice address
- 3423 Cypress St
West Monroe, LA 71291-7309 - Phone
- (318) 322-2994
- NPI assigned
- Aug 16, 2017
- Last updated
- Aug 16, 2017
- 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 | PST.022119 | LA | Primary |
Addresses
Primary practice location
3423 Cypress St
West Monroe, LA 71291-7309
Mailing address
117 Flagstone Dr
West Monroe, LA 71291-3800
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 |
|---|---|---|---|
| PST.022119 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients |
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": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1770009375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 FLAGSTONE DR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3423 CYPRESS ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917309",
"telephone_number": "318-322-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUBERT",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.022119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
- Dalco Enterprises Inc
- Logan Grace Dalfiume, PHARMD
- Dana's Medical Transportation LLC
- Patricia Wade Daniel
- Anna Kate Dannehl, MS, L-SLP, CCC-SLP
- David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation (Oral Surgery and Wisdom Teeth of Louisiana)
- Sarah Owen Davidson, PA-C
- Cresha Tanara-Tulani Davis, M.D.
- John William Davis, DC
- Kelli Davis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.