Katrina Nikornpan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR47048 Issued in ME

Practice address

9 Spring St
Gardiner, ME 04345-1823

Phone

(207) 582-3051

NPI assigned

Dec 19, 2017

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

Other names 1

• Dr. Katrina Moran Professional name

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1104332691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 WATER ST STE 401",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304748",
            "telephone_number": "207-592-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SPRING ST",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043451823",
            "telephone_number": "207-582-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKORNPAN",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR47048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "MORAN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Valerie Moran
• Msad #11
• Kristel Shane Murphy, PMHNP
• Kathryn Murray, LCPC
• New Communities, Inc.
• Omnicare Pharmacy of Maine, LLC
• Margaret A Parsons, MD
• Penny a. Purington
• Sierra Blaize Perry
• Kathleen Marie Peters, D.C.

• Pharmacist in Gardiner, ME
• Providers in Gardiner, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.