Provider Demographics
NPI:1851715411
Name:KRAMER, MEGAN ASHLEY (RPH)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ASHLEY
Last Name:KRAMER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:455 SAINT MICHAELS DR
Mailing Address - Street 2:ST VINCENTS REGIONAL MEDICAL CENTER
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7601
Mailing Address - Country:US
Mailing Address - Phone:615-415-7881
Mailing Address - Fax:888-881-8585
Practice Address - Street 1:455 SAINT MICHAELS DR
Practice Address - Street 2:ST VINCENTS REGIONAL MEDICAL CENTER
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7601
Practice Address - Country:US
Practice Address - Phone:615-415-7881
Practice Address - Fax:888-881-8585
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024343A183500000X, 183500000X
CA70124183500000X, 1835P1200X
TN104931835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy