KST Group, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

1311 Issued in IA

Legal business name

KST GROUP, LLC

Practice address

2442 Transit Ave
Sioux City, IA 51106-1447

Phone

(712) 224-4040

Fax

(712) 224-4043

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Christians, R.PH.

Title

Managing Partner

Phone

(319) 331-7795

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serviam Pharmacy of Sioux City Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1881743698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 TRANSIT AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061447",
            "telephone_number": "712-224-4040",
            "fax_number": "712-224-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 TRANSIT AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061447",
            "telephone_number": "712-224-4040",
            "fax_number": "712-224-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "319-331-7795",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0741629",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serviam Pharmacy of Sioux City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kreisers Inc
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• Kara Ann Krisl
• Jeffrey D. Krohn, MD
• Mark A Kruse, D.C.
• KTB, DDS. P.C
• Robert Daron Kuchel, D.C.
• Wade Kuehl, LISW
• Blake Kuiper, DDS
• Mitchell Wade Kulawik, B.S., C.A.D.C

• Long Term Care Pharmacy in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Long Term Care Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.