Provider Demographics
NPI:1750988622
Name:SIMPSON, KRISTY LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:LYNN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 GARNER STATION BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-3644
Mailing Address - Country:US
Mailing Address - Phone:919-834-1600
Mailing Address - Fax:866-989-7962
Practice Address - Street 1:1815 GARNER STATION BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3644
Practice Address - Country:US
Practice Address - Phone:919-834-1600
Practice Address - Fax:866-989-7962
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist