Kellie Krueger, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03135718 Issued in OH

Practice address

9885 Rockside Rd Ste 157
Cleveland, OH 44125-6272

Phone

(216) 957-6337

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kellie Stupka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Berea, OH
  • NPI 1417962465
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1861947079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9885 ROCKSIDE RD STE 157",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441256272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 ROCKSIDE RD STE 157",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441256272",
            "telephone_number": "216-957-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "KELLIE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "STUPKA",
            "credential": "PHARMD, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Krotine, LISW
• David Michael Krpata, MD
• Adrian G. Krudy Jr., M.D.
• Christina Krudy, M.D.
• Nicholas A Krudy
• Kelsey Krueger, AU.D.
• Aaron Taylor Kruger, M.D
• Marissa Kruk, MD
• Thomas Krumroy, CTRS
• Ashley I Krupa

• Pharmacist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.