Individual provider Active NPI

Katrina Thompson, RPH

  • Pharmacist
  • Wimberley, TX
National Provider Identifier
1043884000
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28854 Issued in TX
Practice address
14100 Ranch Road 12 Unit 2a
Wimberley, TX 78676-5332
Phone
(512) 847-7520
Fax
(512) 842-8032
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28854 TX Primary

Addresses

Primary practice location

14100 Ranch Road 12 Unit 2a
Wimberley, TX 78676-5332

Mailing address

14100 Ranch Road 12 Unit 2a
Wimberley, TX 78676-5332
Phone (512) 847-7520

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL NA
CONNECT URL na
CONNECT URL na
CONNECT URL NA

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
28854TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookshire Brothers Inc PastSince May 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1043884000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 2A",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765332",
            "telephone_number": "512-847-7520",
            "fax_number": "512-842-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 RANCH ROAD 12 UNIT 2A",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765332",
            "telephone_number": "512-847-7520",
            "fax_number": "512-842-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATRINA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "28854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "14100 Ranch Road 12 Unit 2A",
            "city": "Wimberley",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786765332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "14100 Ranch Road 12 Unit 2A",
            "city": "Wimberley",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786765332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "14100 Ranch Road 12 Unit 2A",
            "city": "Wimberley",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786765332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "14100 Ranch Road 12 Unit 2A",
            "city": "Wimberley",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786765332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.