Active NPI
Kristin Marie Yarrish, PHARM. D., M.B.A.
- Pharmacist
- Gray, ME
National Provider Identifier
1942329701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5290
- Practice address
- 20 Portland Road
Gray, ME 04039 - Phone
- (207) 657-2333
- Fax
- (207) 657-2062
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR5290 | ME | Primary |
| Pharmacist | 183500000X | 10649 | CT | |
| Pharmacist | 183500000X | RP439940 | PA |
Addresses
Primary practice location
20 Portland Road
Gray, ME 04039
Mailing address
216 Morse Rd
New Gloucester, ME 04260-4409
Phone (207) 926-4761
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10649 | CT | MD | Clinical Social Worker |
| PR5290 | ME | MD | Pharmacist |
| RP439940 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942329701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 MORSE RD",
"city": "NEW GLOUCESTER",
"state": "ME",
"postal_code": "042604409",
"telephone_number": "207-926-4761",
"fax_number": "207-926-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PORTLAND ROAD",
"city": "GRAY",
"state": "ME",
"postal_code": "04039",
"telephone_number": "207-657-2333",
"fax_number": "207-657-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARRISH",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM. D., M.B.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5290",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "10649",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439940",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.