Katherine F. Imhof, PHARMD
Individual provider Active NPI Pharmacist · Melbourne, FL
NPI 1003940404 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003940404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS 31646 (FL)
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3278 - Phone
- (321) 434-7485
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 31646 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS 31646 | FL | Yes |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3278
Mailing address
2360 Polonius LN
Melbourne, FL 32934-7634
Phone (321) 434-7485
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.