Kathleen Kanani Graham, PHARM. D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS29258 Issued in FL

Practice address

1401 S. Federal Highway
Ft. Lauderdale, FL 33316

Phone

(954) 728-1111

Fax

(954) 712-5072

NPI assigned

Mar 23, 2018

Last updated

Mar 23, 2018By 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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1104320126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162619",
            "telephone_number": "954-728-1111",
            "fax_number": "954-712-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S. FEDERAL HIGHWAY",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-728-1111",
            "fax_number": "954-712-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KATHLEEN",
        "middle_name": "KANANI",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS29258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Graff, MD
• Brad William Graff, DMD
• Vanessa Graham-McFarlane
• Donny Lee Y Graham, MSN, FNP-BC
• Emily May Graham, DO
• Nicole Graham, PH.D.
• Patrick Graham
• Zoemi Grajales Medina
• Jacob Hunter Gramacy, DO
• Jacklyn Gramer, CRNA

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.