Krystal Marie Memmer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202215205 Issued in VA

Practice address

5801 Bremo Rd
Richmond, VA 23226-1907

Phone

(804) 281-8191

NPI assigned

Jan 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Krystal Marie Kelly Other name

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1932797313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 MAGINOAK CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361884",
            "telephone_number": "516-993-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261907",
            "telephone_number": "804-281-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMMER",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202215205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.perfectserve.com/login?signin=e61bec4648453b8ce02e7891ddced12c",
            "affiliation": "Y",
            "endpointDescription": "PerfectServe Practitioner Messenger",
            "affiliationName": "Bon Secours St Marys Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8580 Magellan Pkwy",
            "address_2": "Bldg 4",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232271149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.perfectserve.com/login?signin=e61bec4648453b8ce02e7891ddced12c",
            "affiliation": "Y",
            "endpointDescription": "PerfectServe Practitioner Messenger",
            "affiliationName": "Bon Secours St Marys Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8580 Magellan Pkwy",
            "address_2": "Bldg 4",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232271149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.perfectserve.com/login?signin=e61bec4648453b8ce02e7891ddced12c",
            "affiliation": "Y",
            "endpointDescription": "PerfectServe Practitioner Messenger",
            "affiliationName": "Bon Secours St Marys Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8580 Magellan Pkwy",
            "address_2": "Bldg 4",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232271149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.perfectserve.com/login?signin=e61bec4648453b8ce02e7891ddced12c",
            "affiliation": "Y",
            "endpointDescription": "PerfectServe Practitioner Messenger",
            "affiliationName": "Bon Secours St Marys Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8580 Magellan Pkwy",
            "address_2": "Bldg 4",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232271149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.perfectserve.com/login?signin=e61bec4648453b8ce02e7891ddced12c",
            "affiliation": "Y",
            "endpointDescription": "PerfectServe Practitioner Messenger",
            "affiliationName": "Bon Secours St Marys Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8580 Magellan Pkwy",
            "address_2": "Bldg 4",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232271149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "KELLY",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Richmond, VA
• Providers in Richmond, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; 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.