Individual provider Active NPI

Kristen Clarke

  • Pharmacist
  • Hendersonville, NC
National Provider Identifier
1821726308
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31603 Issued in NC
Practice address
625 Spartanburg Hwy
Hendersonville, NC 28792-5762
Phone
(828) 694-3746
NPI assigned
Aug 11, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31603 NC Primary

Addresses

Primary practice location

625 Spartanburg Hwy
Hendersonville, NC 28792-5762

Mailing address

625 Spartanburg Hwy
Hendersonville, NC 28792-5762
Phone (828) 694-3746

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ingrx077@ingles-markets.com

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

LicenseStateTypeSpecialty
31603NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingles Markets Inc PastSince Aug 14, 2022 Accepting new patients
Ingles Markets Inc PastSince Aug 14, 2022 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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1821726308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SPARTANBURG HWY",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925762",
            "telephone_number": "828-694-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SPARTANBURG HWY",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925762",
            "telephone_number": "828-694-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ingrx077@ingles-markets.com",
            "affiliation": "N",
            "address_1": "625 Spartanburg Hwy",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287925762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.