Active NPI
Kristofer Z Kardum, PHARM.D
- Pharmacist
- Aubrey, TX
National Provider Identifier
1861776775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44551
- Practice address
- 701 S Highway 377
Aubrey, TX 76227-5534 - Phone
- (940) 440-0400
- Fax
- (940) 440-0400
- NPI assigned
- Oct 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 24340 | TX | |
| Pharmacist | 183500000X | 44551 | TX | Primary |
Addresses
Primary practice location
701 S Highway 377
Aubrey, TX 76227-5534
Mailing address
701 S Highway 377
Aubrey, TX 76227-5534
Phone (940) 440-0400
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 |
|---|---|---|---|
| 44551 | TX | MD | Medical Oncology Physician |
| 24340 | TX | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aubrey Pharmacy Inc | Community/Retail Pharmacy | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1861776775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S HIGHWAY 377",
"city": "AUBREY",
"state": "TX",
"postal_code": "762275534",
"telephone_number": "940-440-0400",
"fax_number": "940-440-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S HIGHWAY 377",
"city": "AUBREY",
"state": "TX",
"postal_code": "762275534",
"telephone_number": "940-440-0400",
"fax_number": "940-440-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARDUM",
"first_name": "KRISTOFER",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-11",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "24340",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.