Active NPI
Kathleen Krazinski, R.PH.
- Pharmacist
- Horseheads, NY
National Provider Identifier
1952568206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36053
- Practice address
- 1400 County Route 64
Horseheads, NY 14845-2297 - Phone
- (607) 739-2087
- NPI assigned
- May 22, 2008
- Last updated
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36053 | NY | Primary |
Addresses
Primary practice location
1400 County Route 64
Horseheads, NY 14845-2297
Mailing address
128 Brown Rd
Horseheads, NY 14845-7969
Phone (607) 738-9692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01425841 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36053 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Walmart Pharmacy 10-1976
- Community/Retail Pharmacy
- Horseheads, NY
- NPI 1013935881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1952568206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 BROWN RD",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148457969",
"telephone_number": "607-738-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COUNTY ROUTE 64",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148452297",
"telephone_number": "607-739-2087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAZINSKI",
"first_name": "KATHLEEN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "36053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01425841",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Horseheads, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.