KRISTOPHER WALLER (NPI# 1477154649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477154649 |
| Entity Type | Individual |
| Full Name | KRISTOPHER WALLER |
| Credential | PHARMD |
| Practice Address |
3165 S 2nd St Louisville KY 40208-1446 |
| Practice Telephone | 5023686153 |
| Practice Fax Number | 5023686832 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
021712 | KY | Pharmacy Service Providers |
| Street Address |
3165 S 2ND ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40208-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588698344 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3165 S 2nd St, Louisville, KY 40208-1446 | 2006-07-10 |
| 1912517194 | Marcelle Curtis | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-08-03 |
| 1942820998 | Sarah Rae Calhoun | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-04-20 |
| 1982244786 | Kasey Lynn Burge | Pharmacist | 3165 S 2nd St, Louisville, KY 40208-1446 | 2020-01-09 |
| 1861031643 | Jessica Zoeller | Nurse Practitioner | 3165 S 2nd St, Louisville, KY 40208-1446 | 2019-12-27 |
| 1861908949 | Whitney Graves | Nurse Practitioner | 3165 S 2nd St, Louisville, KY 40208-1446 | 2017-12-27 |
| 1841705878 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3165 S 2nd St, Louisville, KY 40208-1446 | 2017-12-13 |
| 1801310461 | Christine Myers | Nurse Practitioner | 3165 S 2nd St, Louisville, KY 40208-1446 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
| 1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
| 1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
| 1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
| 1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
| 1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
| 1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
| 1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
| 1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
| 1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
| Find all providers in zip 40208 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417528 | Monica Ann Elswick | Pharmacist | 4913 Carriage Pass Pl, Louisville, KY 40299-6638 | 2020-11-02 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1841797560 | Bhavyata Parag | Pharmacist | 530 S Jackson St Apt 111, Louisville, KY 40202-1675 | 2018-04-09 |
| 1588910905 | Gayatri Singh | Pharmacist | 900 Eldorado Lane, Louisville, CO 80027-3107 | 2012-08-03 |
| 1083868947 | Esen Apak Stephens | Pharmacist | 9819 White Blossom Blvd, Louisville, KY 40241-4181 | 2008-11-05 |
| 1083214290 | Kristin Scarboro | Pharmacist | 3039 Breckenridge Ln, Louisville, KY 40220-2101 | 2020-10-27 |
| 1811596893 | Melina Irene Digenis | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-10-21 |
| 1467051417 | William K Harmon | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-21 |
| 1942809991 | Justin Steven Creasy | Pharmacist | 9080 Taylorsville Rd, Louisville, KY 40299-1750 | 2020-10-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40208 |
Please comment or provide details below to improve the information on KRISTOPHER WALLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.