Individual provider Active NPI

Katherine J Leadingham, PHARMD

  • Pharmacist
  • Gastonia, NC
National Provider Identifier
1003218322
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22135 Issued in NC
Practice address
223 N Myrtle School Rd
Gastonia, NC 28052-1257
Phone
(704) 864-6670
Fax
(704) 864-6660
NPI assigned
Sep 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22135 NC Primary

Addresses

Primary practice location

223 N Myrtle School Rd
Gastonia, NC 28052-1257

Mailing address

223 N Myrtle School Rd
Gastonia, NC 28052-1257
Phone (704) 864-6670

Other practice location 1

3105 Dr M L King Jr Blvd
New Bern, NC 28562-5213
Phone (252) 637-5119

Other names 1

  • Katherine J Vasilakos Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22135NCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1003218322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N MYRTLE SCHOOL RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521257",
            "telephone_number": "704-864-6670",
            "fax_number": "704-864-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N MYRTLE SCHOOL RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280521257",
            "telephone_number": "704-864-6670",
            "fax_number": "704-864-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Dr M L King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625213",
            "country_code": "US",
            "telephone_number": "252-637-5119",
            "fax_number": "252-637-9417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEADINGHAM",
        "first_name": "KATHERINE",
        "middle_name": "J",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "VASILAKOS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.