Active NPI
Kristin Marie Fedor, PHARMD
- Pharmacist
- Bronx, NY
National Provider Identifier
1891041448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 056983
- Practice address
- 3775 E Tremont Ave
Bronx, NY 10465-2432 - Phone
- (718) 597-3757
- Fax
- (718) 597-4919
- NPI assigned
- Aug 1, 2012
- Last updated
- Aug 1, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 056983 | NY | Primary |
Addresses
Primary practice location
3775 E Tremont Ave
Bronx, NY 10465-2432
Mailing address
3775 E Tremont Ave
Bronx, NY 10465-2432
Phone (718) 597-3757
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 |
|---|---|---|---|
| 056983 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1891041448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3775 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652432",
"telephone_number": "718-597-3757",
"fax_number": "718-597-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652432",
"telephone_number": "718-597-3757",
"fax_number": "718-597-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDOR",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "056983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Raquel Fedebagha, LCSW
- Ann Judith Feder, LCSW
- Federation Employment and Guidance Service, Inc (FEGS Health and Human Services)
- Federation Employment and Guidance Service, Inc (FEGS Health and Human Services)
- Federation Empoyment and Guidance Service, Inc. (FEGS Health and Human Services)
- Joseph Anthony Fedrick
- Feel Better Therapy Clinic
- Feel Good Pharmacy Inc (Feel Good Pharmacy)
- Andrea Feghali, NP
- Joseph G. Feghali, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.