Active NPI
Krystal Kymberlie Holmes, PHARMD
- Pharmacist
- Beaumont, TX
National Provider Identifier
1881350809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67574
- Practice address
- 3080 College St
Beaumont, TX 77701-4606 - Phone
- (409) 926-7915
- NPI assigned
- Nov 14, 2021
- Last updated
- Nov 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67574 | TX | Primary |
| Pharmacist | 183500000X | 23621 | IA |
Addresses
Primary practice location
3080 College St
Beaumont, TX 77701-4606
Mailing address
8849 Pinewood Dr Apt 2201
Port Arthur, TX 77640-1144
Phone (313) 269-2357
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 |
|---|---|---|---|
| 67574 | TX | MD | Social Worker |
| 23621 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636848000000",
"number": "1881350809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8849 PINEWOOD DR APT 2201",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776401144",
"telephone_number": "313-269-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014606",
"telephone_number": "409-926-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "KRYSTAL",
"middle_name": "KYMBERLIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-14",
"last_updated": "2021-11-14",
"certification_date": "2021-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67574",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23621",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.