Active NPI
Katherine Anna Collins, R.PH.
- Pharmacist
- Bowling Green, VA
National Provider Identifier
1043591530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202007306
- Practice address
- 104 W Broaddus Ave
Bowling Green, VA 22427-9404 - Phone
- (804) 633-5058
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- 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 | 0202007306 | VA | Primary |
Addresses
Primary practice location
104 W Broaddus Ave
Bowling Green, VA 22427-9404
Mailing address
602 Lake Caroline Dr
Ruther Glen, VA 22546-5113
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 |
|---|---|---|---|
| 0202007306 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1043591530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 LAKE CAROLINE DR",
"city": "RUTHER GLEN",
"state": "VA",
"postal_code": "225465113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W BROADDUS AVE",
"city": "BOWLING GREEN",
"state": "VA",
"postal_code": "224279404",
"telephone_number": "804-633-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "KATHERINE",
"middle_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.