Active NPI
Kathryn Erosa
- Pharmacist
- Jackson, CA
National Provider Identifier
1053844902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41811
- Practice address
- 515 Highway 49 South
Jackson, CA 95642 - Phone
- (209) 223-2471
- NPI assigned
- Apr 7, 2017
- Last updated
- Aug 24, 2017
- 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 | 41811 | CA | Primary |
Addresses
Primary practice location
515 Highway 49 South
Jackson, CA 95642
Mailing address
11356 Clinton Bar Rd
Pine Grove, CA 95665-9762
Phone (209) 765-8013
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 |
|---|---|---|---|
| 41811 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | 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": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1053844902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11356 CLINTON BAR RD",
"city": "PINE GROVE",
"state": "CA",
"postal_code": "956659762",
"telephone_number": "209-765-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 HIGHWAY 49 SOUTH",
"city": "JACKSON",
"state": "CA",
"postal_code": "95642",
"telephone_number": "209-223-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EROSA",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
- Mark Elliott Eastman, D.O.
- Elisabeth Siegler MD a Professional Corporation
- John Holbert Ellyson, MD
- Environmental Alternatives (EA Family Services)
- Erin Cox Chiropractic LLC (Brilliant Life Chiropractic)
- Diane Escoffon, PH.D.
- Excel Rehabilitation Inc (Excel Physical Therapy)
- Family First in Home Care Services Inc
- Farhad Kiani DDS PC
- Sabrina Marie Fazendin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.