Active NPI
Katy M Breeze, RPH
- Pharmacist
- Lexington, KY
National Provider Identifier
1033368931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 008102
- Practice address
- #2573 Palomar Centre Dr
Rite Aid Pharmacy
Lexington, KY 40513 - Phone
- (859) 223-0701
- Fax
- (859) 223-0502
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 008102 | KY | Primary |
Addresses
Primary practice location
#2573 Palomar Centre Dr
Rite Aid Pharmacy
Lexington, KY 40513
Mailing address
4025 John Alden Lane
Lexington, KY 40504
Phone (859) 455-9979
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 |
|---|---|---|---|
| 008102 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1033368931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 JOHN ALDEN LANE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40504",
"telephone_number": "859-455-9979",
"fax_number": "859-223-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#2573 PALOMAR CENTRE DR",
"address_2": "RITE AID PHARMACY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40513",
"telephone_number": "859-223-0701",
"fax_number": "859-223-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEZE",
"first_name": "KATY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "008102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.