Individual provider Active NPI

Kristen Mari Wrigley, PHARMD

  • Pharmacist
  • Liverpool, NY
National Provider Identifier
1790059434
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054703 Issued in NY
Practice address
7608 Oswego Rd Ste 21
Liverpool, NY 13090-2997
Phone
(215) 652-6584
NPI assigned
Feb 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 054703 NY Primary

Addresses

Primary practice location

7608 Oswego Rd Ste 21
Liverpool, NY 13090-2997

Mailing address

40 Garden Dr
Oswego, NY 13126-6104
Phone (518) 929-3147

Other practice location 1

3318 Main St
Mexico, NY 13114-3002
Phone (315) 963-0601 ext. 2

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
054703NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KPH Healthcare Services, Inc. Past Accepting new patients
KPH Healthcare Services, Inc. PastSince Mar 28, 2021 Accepting new patients
KPH Healthcare Services, Inc. PastSince Mar 28, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1790059434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GARDEN DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266104",
            "telephone_number": "518-929-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 OSWEGO RD STE 21",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902997",
            "telephone_number": "215-652-6584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3318 Main St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143002",
            "country_code": "US",
            "telephone_number": "315-963-0601 x2",
            "fax_number": "315-963-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGLEY",
        "first_name": "KRISTEN",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.