Active NPI
Kristy Henderson, PHARM.D.
- Pharmacist
- Newark, DE
National Provider Identifier
1841573763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A10003941
- Practice address
- 124 E Main St
Newark, DE 19711-7308 - Phone
- (302) 738-6333
- Fax
- (302) 224-3168
- NPI assigned
- Sep 27, 2011
- Last updated
- Dec 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | A10003941 | DE | Primary |
Addresses
Primary practice location
124 E Main St
Newark, DE 19711-7308
Mailing address
124 E Main St
Newark, DE 19711-7308
Phone (302) 738-6333
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 |
|---|---|---|---|
| A10003941 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Harrys Inc | Past | Accepting new patients | |
| Walgreen Co | 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": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1841573763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E MAIN ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117308",
"telephone_number": "302-738-6333",
"fax_number": "302-224-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E MAIN ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117308",
"telephone_number": "302-738-6333",
"fax_number": "302-224-3168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KRISTY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A10003941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.