Individual provider Active NPI

Keri Lynn Kratofil, PHARMD

  • Pharmacist
  • Fort Myers, FL
National Provider Identifier
1962771840
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS35586 Issued in FL
Practice address
12550 Professional Park Dr
Unit 1
Fort Myers, FL 33913-7979
Phone
(239) 482-0050
Fax
(239) 482-1610
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS35586 FL Primary

Addresses

Primary practice location

12550 Professional Park Dr
Unit 1
Fort Myers, FL 33913-7979

Mailing address

12550 Professional Park Dr
Unit 1
Fort Myers, FL 33913-7979
Phone (239) 482-0050

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS35586FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1962771840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 PROFESSIONAL PARK DR",
            "address_2": "UNIT 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137979",
            "telephone_number": "239-482-0050",
            "fax_number": "239-482-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 PROFESSIONAL PARK DR",
            "address_2": "UNIT 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137979",
            "telephone_number": "239-482-0050",
            "fax_number": "239-482-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATOFIL",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.