Individual provider Active NPI

Kelly S Kreider, PHARMD

  • Pharmacist
  • New York, NY
National Provider Identifier
1891026704
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
060219 Issued in NY
Practice address
185 Greenwich St # Ll5155
New York, NY 10007-2383
Phone
(646) 822-4717
Fax
(212) 822-4718
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S017406 AZ
Pharmacist 183500000X 060219 NY Primary

Addresses

Primary practice location

185 Greenwich St # Ll5155
New York, NY 10007-2383

Mailing address

120 Thompson St Apt 16
New York, NY 10012-3721

Other practice location 1

37 Broadway
New York, NY 10006-3001
Phone (212) 425-8460

Other practice location 2

305 Broadway
New York, NY 10007-1109
Phone (212) 227-6168

Other practice location 3

10 Union Sq E # 2050
New York, NY 10003-3314
Phone (646) 602-2491

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA Other

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

LicenseStateTypeSpecialty
060219NYMDGeneral Practice Dentistry
S017406AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade PastSince Apr 24, 2022 Accepting new patients
Duane Reade Past Accepting new patients

Organizations & group practices 2

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": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1891026704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 THOMPSON ST APT 16",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GREENWICH ST # LL5155",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072383",
            "telephone_number": "646-822-4717",
            "fax_number": "212-822-4718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100063001",
            "country_code": "US",
            "telephone_number": "212-425-8460",
            "fax_number": "212-269-5259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100071109",
            "country_code": "US",
            "telephone_number": "212-227-6168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Union Sq E # 2050",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033314",
            "country_code": "US",
            "telephone_number": "646-602-2491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S017406",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "10 Union Sq E # 2050",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100033314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.