Kristie Hanh Doan

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26022746A Issued in IN

Practice address

200 S Harrison St
Shelbyville, IN 46176-2160

Phone

(317) 398-9791

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kristiedoan@cvshealth.com

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1992308217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HARRISON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HARRISON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762160",
            "telephone_number": "317-398-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "KRISTIE",
        "middle_name": "HANH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "26022746A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760585442",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristiedoan@cvshealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 S Harrison St",
            "city": "Shelbyville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461762160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dental Professionals of Indiana, PC (Dental Care of Shelbyville)
• Jasjeet Dhah, P.A.
• DHP of Indiana, P.C.
• Ann E Didelot, MD
• Jorge M Diego, MD
• Christine Marie Dockrey, LMHC
• Doctor Bala & Associates LLC
• Donald E Robbins, O.D.
• Jana Beth Jennifer Dorsey, RPH
• Melanie Renee Dowell, FNP

• Community/Retail Pharmacy in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.