Active NPI
Katie Elizabeth Bush, PHARM D
- Pharmacist
- Olean, NY
National Provider Identifier
1093039422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20054291
- Practice address
- 415 N Union St
Olean, NY 14760-2617 - Phone
- (716) 372-5881
- NPI assigned
- Mar 13, 2010
- Last updated
- Mar 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20054291 | NY | Primary |
| Pharmacist | 183500000X | RP444329 | PA |
Addresses
Primary practice location
415 N Union St
Olean, NY 14760-2617
Mailing address
684 McCrea BRK
Eldred, PA 16731-5224
Phone (716) 397-9224
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20054291 | NY | MD | Pharmacist |
| RP444329 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany 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": "1268438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268438400000",
"number": "1093039422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "684 MCCREA BRK",
"city": "ELDRED",
"state": "PA",
"postal_code": "167315224",
"telephone_number": "716-397-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N UNION ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147602617",
"telephone_number": "716-372-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "KATIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-13",
"last_updated": "2010-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "20054291",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444329",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.