Individual provider Active NPI

Catherine L Ronalder, RPH

  • Pharmacist
  • Burleson, TX
National Provider Identifier
1023303153
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36520 Issued in TX
Practice address
200 NW John Jones Dr
Burleson, TX 76028-5615
Phone
(817) 302-0059
Fax
(817) 302-0059
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36520 TX Primary

Addresses

Primary practice location

200 NW John Jones Dr
Burleson, TX 76028-5615

Mailing address

200 NW John Jones Dr
Burleson, TX 76028-5615
Phone (817) 302-0059

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

LicenseStateTypeSpecialty
36520TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1023303153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285615",
            "telephone_number": "817-302-0059",
            "fax_number": "817-302-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285615",
            "telephone_number": "817-302-0059",
            "fax_number": "817-302-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONALDER",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.