Kathy Crisp

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03120475 Issued in OH

Practice address

2129 S Main St
Bellefontaine, OH 43311-1557

Phone

(937) 592-3464

NPI assigned

Nov 23, 2020

Last updated

Jun 23, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ohio CVS Stores LLC

  dba CVS Pharmacy #06172

  • Pharmacy
  • Kenton, OH
  • NPI 1881797587
  NPD (past)
• Ohio CVS Stores, L.L.C.

  dba CVS Pharmacy #17878

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)
• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Bellefontaine, OH
  • NPI 1942234745
  NPD (past)
• Kroger Co

  dba Kroger Drugstore #622

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1962006866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111557",
            "telephone_number": "937-592-3464",
            "fax_number": "937-593-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111557",
            "telephone_number": "937-592-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISP",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03120475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Logan Office of Auditor (Logan Acres Care Center)
• County of Logan Office of Auditor (Logan County Health District)
• County of Logan Office of Auditor (Logan County Health District)
• Cortney Coyle
• Michael Thomas Cray, M.D.
• Robert Crook, MA LSW
• Jessica Quantz Cullivan, MD
• Mary Katherine Culp
• Wayne Cummings, DO
• Custom Staffing Bellefontaine Inc

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.