Katherine Fehlig Gilligan

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Practice address

715 N 2ND St
Rogers, AR 72756-6637

Phone

(479) 631-7013

NPI assigned

Dec 30, 2020

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1063009546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 AGINCOURT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727138328",
            "telephone_number": "479-366-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566637",
            "telephone_number": "479-631-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "KATHERINE",
        "middle_name": "FEHLIG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gibson, APRN
• Lindsey Marie Giesen, PHARMD.
• Anna Gilbert
• Derek Gililland, DC
• Kelsey Danielle Gilley, CNM
• Rebekah Gillis Smith
• Alisha Elaine Gilmore, NP
• Charles Stephen Ginn, DPM
• Sally J Gladden, DPT
• Summer Glass

• Community/Retail Pharmacy in Rogers, AR
• Providers in Rogers, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.