Ky Desmarattes, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS62004 Issued in FL

Practice address

2767 W US Highway 90
Lake City, FL 32055-4755

Phone

(386) 755-2427

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1003567728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 BELLA VISTA WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114309",
            "telephone_number": "561-714-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554755",
            "telephone_number": "386-755-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMARATTES",
        "first_name": "KY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS62004",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS62004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autum Blair Denmark, P.T.A.
• Deonna G Willis Aprn LLC
• Department of Veterans Affairs
• Departmentf Veterans Affairs
• Cayla Derringer
• Desoto Home Care
• Jennifer Lee Devries, R.D.
• Luz S Diaz, PT
• Danielle Dinger, LCSW
• Kathy Dix

• Pharmacist in Lake City, FL
• Providers in Lake City, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.