Active NPI
Kristen A Engelen, PHARM D
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1790922763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19803
- Practice address
- 1211 1St Ave N Ste 204
Saint Petersburg, FL 33705-1567 - Phone
- (866) 234-4974
- NPI assigned
- Jan 13, 2009
- Last updated
- Mar 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19803 | NC | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | PS50111 | FL |
Addresses
Primary practice location
1211 1St Ave N Ste 204
Saint Petersburg, FL 33705-1567
Mailing address
1211 1St Ave N Ste 204
Saint Petersburg, FL 33705-1567
Phone (866) 234-4974
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 |
|---|---|---|---|
| 19803 | NC | MD | Pharmacist |
| PS50111 | FL | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxlive Florida LLC | Pharmacist | Current | Accepting new patients |
| Rxlive, Inc. | Current | Accepting new patients |
Locations
1211 1st Ave N
Ste 204
St Petersburg, FL 33705
Phone (866) 234-4974
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.
-
- Pharmacy
- St Petersburg, FL
- NPI 1053055681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1790922763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 1ST AVE N STE 204",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337051567",
"telephone_number": "866-234-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 1ST AVE N STE 204",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337051567",
"telephone_number": "866-234-4974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELEN",
"first_name": "KRISTEN",
"middle_name": "A",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19803",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "FL",
"license": "PS50111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Eneberg Physical Therapy and Wellness
- Enerqi Wellness Inc
- Fallon Nicole Enfinger, PHARM.D.
- Debbie Engala, PHARM.D., C.PH.
- Erin Engel, M.S., CGC
- Norbert Nicholas Engelman III, D.O.
- Andrea Engels, PHD, LPC
- Enliven Integrative Health (Florida Integrative Health & Wellness)
- Karen Ennis
- Kimberly Cory Enns
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.