Raisa Yakovlivna Katanova, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

18507 Issued in CO

Practice address

4850 E 62ND Ave
Commerce City, CO 80022-3288

Phone

(303) 288-6629

Fax

(303) 289-8043

NPI assigned

Apr 5, 2013

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Mile High Treatment and Recovery Inc

  • Methadone Clinic
  • Denver, CO
  • NPI 1154031011
  NPD Authorized official
• Rxbydesign LLC

  • Community/Retail Pharmacy
  • Denver, CO
  • NPI 1437968146
  NPD Authorized official
• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Fountain, CO
  • NPI 1194524165
  NPD (past)
• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Commerce City, CO
  • NPI 1386670859
  NPD (past)

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1104169309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E 62ND AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223288",
            "telephone_number": "303-288-6629",
            "fax_number": "303-289-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E 62ND AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223288",
            "telephone_number": "303-288-6629",
            "fax_number": "303-289-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATANOVA",
        "first_name": "RAISA",
        "middle_name": "YAKOVLIVNA",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "18507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jean Jones, M.A.
• Jaidyn Alessa Jones
• Matthew Jones, DMD
• Jusdor Inc
• Eldon James Kartchner, LPC
• Megan Breanna Kaufman
• Archana Kayastha
• Samantha Kelley-Stevens
• Rosemary Kelly, RN
• Kem Counseling

• Pharmacist in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.