Active NPI
Katelyn Jo Nortz
- Pharmacist
- Carthage, NY
National Provider Identifier
1053093146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 069755
- Practice address
- 401 State St
Carthage, NY 13619-1419 - Phone
- (315) 493-0150
- NPI assigned
- Aug 7, 2023
- Last updated
- Aug 7, 2023
- 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 | 069755 | NY | Primary |
Addresses
Primary practice location
401 State St
Carthage, NY 13619-1419
Mailing address
6268 County Route 17
Redfield, NY 13437-2709
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069755 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | 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.
-
dba Kinney Drugs #06
- Community/Retail Pharmacy
- Carthage, NY
- NPI 1649387820
-
dba Kinney Drugs #153
- Community/Retail Pharmacy
- Brattleboro, VT
- NPI 1407747157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1053093146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6268 COUNTY ROUTE 17",
"city": "REDFIELD",
"state": "NY",
"postal_code": "134372709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 STATE ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136191419",
"telephone_number": "315-493-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTZ",
"first_name": "KATELYN",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "069755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.