Kristina M Degiovanni, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

120126 Issued in MN

Practice address

940 Industrial Dr S Ste 102
Sauk Rapids, MN 56379-1235

Phone

(320) 230-1050

NPI assigned

Jun 13, 2011

Last updated

May 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Guardian Pharmacy of Minnesota LLC

  dba Guardian Pharmacy of Minnesota

  • Long Term Care Pharmacy
  • Sauk Rapids, MN
  • NPI 1568732709
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1942595434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S STE 102",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791235",
            "telephone_number": "320-230-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S STE 102",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791235",
            "telephone_number": "320-230-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Highway 100 S",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162500",
            "country_code": "US",
            "telephone_number": "952-926-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGIOVANNI",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Resources of Central Minnesota, P.a.
• David N Peterson, DDS PA
• Kayleen Dempsey
• Hamza Dhombe
• Tahlia Jo Dierkes
• Brandi Dotseth
• Dragich & Dragich Inc (Village Pharmacy & Gift)

• Pharmacist in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.