Individual provider Active NPI

Kristina S Dym, RPH

  • Pharmacist
  • Anchorage, AK
National Provider Identifier
1891089918
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1709 Issued in AK
Practice address
150 W 100TH Ave
Ste 100
Anchorage, AK 99515-2673
Phone
(907) 267-7501
Fax
(907) 267-7501
NPI assigned
Jun 6, 2011
Last updated
Jun 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1709 AK Primary

Addresses

Primary practice location

150 W 100TH Ave
Ste 100
Anchorage, AK 99515-2673

Mailing address

150 W 100TH Ave
Ste 100
Anchorage, AK 99515-2673
Phone (907) 267-7501

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1709AKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1891089918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 100TH AVE",
            "address_2": "STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152673",
            "telephone_number": "907-267-7501",
            "fax_number": "907-267-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 100TH AVE",
            "address_2": "STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152673",
            "telephone_number": "907-267-7501",
            "fax_number": "907-267-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYM",
        "first_name": "KRISTINA",
        "middle_name": "S",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.