Active NPI
Kelly S Kreider, PHARMD
- Pharmacist
- New York, NY
National Provider Identifier
1891026704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 060219
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 060219 | NY | MD | General Practice Dentistry |
| S017406 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | 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.
-
- Pharmacy
- New York, NY
- NPI 1407871981
-
- Pharmacy
- New York, NY
- NPI 1548914351
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.