Active NPI
Anand S Katta, RPH
- Pharmacist
- Creedmoor, NC
National Provider Identifier
1003146002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19471
- Practice address
- 1560 NC Highway 56
Creedmoor, NC 27522-8295 - Phone
- (919) 528-1538
- Fax
- (919) 528-6731
- NPI assigned
- Jan 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19471 | NC | Primary |
Addresses
Primary practice location
1560 NC Highway 56
Creedmoor, NC 27522-8295
Mailing address
1560 NC Highway 56
Creedmoor, NC 27522-8295
Phone (919) 528-1538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0395342 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19471 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Creedmoor, NC
- NPI 1962920512
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1003146002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 NC HIGHWAY 56",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275228295",
"telephone_number": "919-528-1538",
"fax_number": "919-528-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 NC HIGHWAY 56",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275228295",
"telephone_number": "919-528-1538",
"fax_number": "919-528-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATTA",
"first_name": "ANAND",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-13",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0395342",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Creedmoor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.