Active NPI
Kathleen Darnell Mitchell, RPH
- Pharmacist
- Colleyville, TX
National Provider Identifier
1023345592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32468
- Practice address
- 3830 Glade Rd
Colleyville, TX 76034-4829 - Phone
- (817) 283-3786
- NPI assigned
- Nov 4, 2009
- Last updated
- Nov 4, 2009
- Sex
- Female
- 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 | 32468 | TX | Primary |
Addresses
Primary practice location
3830 Glade Rd
Colleyville, TX 76034-4829
Mailing address
1670 Bent Creek Dr
Southlake, TX 76092-9410
Phone (817) 421-3421
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 |
|---|---|---|---|
| 32468 | TX | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1023345592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 BENT CREEK DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929410",
"telephone_number": "817-421-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 GLADE RD",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760344829",
"telephone_number": "817-283-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "KATHLEEN",
"middle_name": "DARNELL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.