Individual provider Active NPI

Travis Kremmin, PHARMD

  • Pharmacist
  • Spencer, IA
National Provider Identifier
1922838457
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24677 Issued in IA
Practice address
819 Grand Ave
Spencer, IA 51301-3640
Phone
(712) 262-5611
Fax
(712) 262-2092
NPI assigned
Aug 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24677 IA Primary

Addresses

Primary practice location

819 Grand Ave
Spencer, IA 51301-3640

Mailing address

2805 Bonnie LN
Milford, IA 51351-7429
Phone (712) 330-7784

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
24677IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1922838457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 BONNIE LN",
            "city": "MILFORD",
            "state": "IA",
            "postal_code": "513517429",
            "telephone_number": "712-330-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 GRAND AVE",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013640",
            "telephone_number": "712-262-5611",
            "fax_number": "712-262-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMMIN",
        "first_name": "TRAVIS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.