Active NPI
Kristina Carlson
- Pharmacist
- Scottsdale, AZ
National Provider Identifier
1821474990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021397
- Practice address
- 10010 N Scottsdale Rd
Scottsdale, AZ 85253-1421 - Phone
- (480) 607-5025
- NPI assigned
- Jul 30, 2015
- Last updated
- Jul 30, 2015
- 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 | S021397 | AZ | Primary |
Addresses
Primary practice location
10010 N Scottsdale Rd
Scottsdale, AZ 85253-1421
Mailing address
1422 W Whitman CT
Anthem, AZ 85086-3927
Phone (480) 766-6868
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S021397 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1821474990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 W WHITMAN CT",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863927",
"telephone_number": "480-766-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 N SCOTTSDALE RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852531421",
"telephone_number": "480-607-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.