Provider Demographics
NPI:1659860864
Name:RIGAS, KRISTOPHER MICHAEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:MICHAEL
Last Name:RIGAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31972 VIA PAVO REAL
Mailing Address - Street 2:
Mailing Address - City:COTO DE CAZA
Mailing Address - State:CA
Mailing Address - Zip Code:92679-4119
Mailing Address - Country:US
Mailing Address - Phone:949-510-8023
Mailing Address - Fax:
Practice Address - Street 1:165 THALIA ST
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2764
Practice Address - Country:US
Practice Address - Phone:949-510-8023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA74371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist