Alan M Kruger, RPH
Individual provider Active NPI Pharmacist · Indiantown, FL
NPI 1851970271 · NPPES record last updated Apr 4, 2021
Key facts
- NPI
- 1851970271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS38800 (FL)
- Practice address
- 15690 SW Warfield Blvd
Indiantown, FL 34956-3509 - Phone
- (772) 597-2250
- NPI assigned
- Apr 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS38800 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Drugs of Indiantown LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS38800 | FL | Yes |
Addresses
Primary practice location
15690 SW Warfield Blvd
Indiantown, FL 34956-3509
Mailing address
119 NW Madison CT
Port Saint Lucie, FL 34986-3587
Phone (772) 359-1390
Other providers in Indiantown, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.