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DR. CARISSA KATHRYN KRUCKEMEYER PHARMD
NPI 1588073985
Pharmacist in Liberty, TX

Active since August 11, 2014
1909 GRAND AVE, LIBERTY, TX 77575(936) 776-5228 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carissa Kathryn Kruckemeyer Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARISSA KATHRYN KRUCKEMEYER PHARMD (NPI 1588073985) is an individual pharmacist in Liberty, Texas, licensed in Texas (55339) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1588073985
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. CARISSA KATHRYN KRUCKEMEYERCredential: PHARMD
Location Address1909 GRAND AVELiberty, TX 77575-4803
Mailing Address10107 Research BlvdAustin, TX 78759-5803
Phone(936) 776-5228
Sole ProprietorNo
Enumeration DateAugust 11, 2014
Last NPPES UpdateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1588073985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 55339
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1909 GRAND AVE, Liberty, TX 77575
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Other Names 1

Former Name (1)Dr. Carissa Kathryn Chadwick Pharmd

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRLS LLC
Pharmacy (Community/Retail Pharmacy)
1909 GRAND AVE
LIBERTY, TX 77575
Liberty County (936) 776-5228
STEVEN GLEN RODGER R.PH.
Pharmacist
1909 GRAND AVE
LIBERTY, TX 77575
Liberty County (936) 336-2271
JOE E CALLAWAY
Pharmacist
1909 GRAND AVE
LIBERTY, TX 77575
Liberty County (936) 776-5228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Kruckemeyer's NPI number?

The NPI number for Carissa Kruckemeyer is 1588073985. It was assigned to this individual provider in the NPPES registry on August 11, 2014. The provider is also known as Dr. Carissa Kathryn Chadwick Pharmd.

Where is Carissa Kruckemeyer located?

Carissa Kruckemeyer practices at 1909 Grand Ave, Liberty, TX 77575. The listed phone number is (936) 776-5228.

What is Carissa Kruckemeyer's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Carissa Kruckemeyer was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.